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NPI Code Detail

MEDICARE: NEWMD URGENT CARE CENTER, INC.

MEDICARE: NEWMD URGENT CARE CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1255877650
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEWMD URGENT CARE CENTER, INC.
Provider Business Mailing Address
First Line : 3431 BROADWAY ST
Second Line : A8
City : AMERICAN CANYON
State : CA
Zip : 94503-1228
Country : US
Telephone Number : 707-731-1108
Fax Number : 707-652-2679
Provider Business Practice Location Address
First Line : 10612 SAN PABLO AVE
Second Line :
City : EL CERRITO
State : CA
Zip : 94530-2620
Country : US
Telephone Number : 510-529-4628
Fax Number : 707-652-2679
Authorized Official
Title or Position : PRESIDENT
Name : DR. IAN AHWAH
Credential : MD
Telephone Number : 707-731-1108
Provider Enumeration Date : 01/10/2017
Last Update Date : 01/10/2017

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Directions to “NEWMD URGENT CARE CENTER, INC. ” Practice Location

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