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General NPI Number Information
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NPI Number | 1962680033
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Entity Type | Organization
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Legal Business Name | ANAHEIM URGENT CARE, INC.
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 831 S STATE COLLEGE BLVD
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City | ANAHEIM
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State | CA
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Zip | 92806-4613
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Country | US
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Telephone | 714-533-2273
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Fax | 714-635-2273
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Provider Business Mailing Address
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Address Line | 1300 N LA BREA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90028-7504
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Country | US
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Telephone | 323-464-1336
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Fax | 714-635-2273
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | PEJMAN BOLOURIAN
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Credential | MD
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Telephone | 714-533-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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