Healthcare Provider Details

I. General information

NPI: 1689835563
Provider Name (Legal Business Name): URGENTPOINT MEDICAL GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15030 7TH STREET
VICTORVILLE CA
92395
US

IV. Provider business mailing address

PO BOX 7092
PASADENA CA
91109-7092
US

V. Phone/Fax

Practice location:
  • Phone: 833-438-8763
  • Fax: 833-438-8700
Mailing address:
  • Phone: 323-438-0483
  • Fax: 833-438-8700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOE P CHAUVAPUN
Title or Position: CEO
Credential: MD
Phone: 760-951-0065