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NPI Code Detail

MEDICARE: DOCTORS ON DEMAND URGENT CARE

MEDICARE: DOCTORS ON DEMAND URGENT CARE
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 : 1407027550
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTORS ON DEMAND URGENT CARE
Provider Business Mailing Address
First Line : 2143 S SEPULVEDA BLVD
Second Line : SUITE 300
City : LOS ANGELES
State : CA
Zip : 90025-5733
Country : US
Telephone Number : 310-445-0751
Fax Number : 866-526-0502
Provider Business Practice Location Address
First Line : 2143 S SEPULVEDA BLVD
Second Line : SUITE 300
City : LOS ANGELES
State : CA
Zip : 90025-5733
Country : US
Telephone Number : 310-445-0751
Fax Number : 866-526-0502
Authorized Official
Title or Position : VICE PRESIDENT
Name : BRIAN MADDEN
Credential : M.D.
Telephone Number : 310-445-0751
Provider Enumeration Date : 03/17/2008
Last Update Date : 02/08/2010

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Directions to “DOCTORS ON DEMAND URGENT CARE ” Practice Location

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