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NPI 1043020407

NPI 1043020407 : VIP URGENT CARE, INC. : WESTLAKE VILLAGE, CA

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General NPI Number Information
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    NPI Number           |    1043020407
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    Entity Type          |    Organization 
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    Legal Business Name  |    VIP URGENT CARE, INC. 
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Dates
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    Enumeration Date     |    01/08/2025
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    Last Update Date     |    05/23/2025
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Provider Practice Location Address
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    Address Line         |    3967 E THOUSAND OAKS BLVD STE 140 
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    City                 |    WESTLAKE VILLAGE
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    State                |    CA
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    Zip                  |    91362-6608
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    Country              |    US
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    Telephone            |    802-233-9809
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3835 E THOUSAND OAKS BLVD STE R-538 
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    City                 |    WESTLAKE VILLAGE
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    State                |    CA
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    Zip                  |    91362-3637
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     RAMIN  RAVEN 
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    Credential           |    MD
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    Telephone            |    802-233-9809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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