Healthcare Provider Details

I. General information

NPI: 1487110797
Provider Name (Legal Business Name): WEST HILLS URGENT CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2019
Last Update Date: 02/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24372 VANOWEN ST STE 101
WEST HILLS CA
91307-2800
US

IV. Provider business mailing address

19528 VENTURA BLVD # 661
TARZANA CA
91356-2917
US

V. Phone/Fax

Practice location:
  • Phone: 818-963-8188
  • Fax: 818-963-8184
Mailing address:
  • Phone: 818-624-4055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SHAHRAM SHAN HASHEMIZADEH
Title or Position: OWNER
Credential:
Phone: 818-624-4055