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General NPI Number Information
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NPI Number | 1306196712
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Entity Type | Organization
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Legal Business Name | WEST COAST URGENT CARE CENTERS - PASADENA INC
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Dates
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Enumeration Date | 09/12/2012
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 600 S LAKE AVE SUITE 105
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City | PASADENA
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State | CA
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Zip | 91106-3955
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Country | US
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Telephone | 310-780-0014
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 688
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-0688
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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 | PRESIDENT
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Name | MR. WALTER CALE
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Credential |
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Telephone | 310-780-0014
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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 | A78104
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License Number State | CA
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