Healthcare Provider Details
I. General information
NPI: 1568663573
Provider Name (Legal Business Name): URGENT CARE AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/29/2007
Last Update Date: 09/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13470 TELEGRAPH RD
WHITTIER CA
90605-3436
US
IV. Provider business mailing address
13470 TELEGRAPH ROAD
WHITTIER CA
90605-3436
US
V. Phone/Fax
- Phone: 562-906-7766
- Fax: 562-906-7763
- Phone: 562-906-7766
- Fax: 562-906-7763
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VH0002X |
| Taxonomy | Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician |
| License Number | |
| License Number State | NULL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080H0002X |
| Taxonomy | Pediatric Hospice and Palliative Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ALIJA
ALI
Title or Position: MEDICAL DIRECTOR
Credential: D.O.
Phone: 562-906-7766