MEDICARE: URGENTPOINT WELLNESS, PC

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
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1538628284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENTPOINT WELLNESS, PC

Provider Business Mailing Address
First Line	:	12575 BEATRICE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-7001
Country	:	US
Telephone Number	:	323-438-0483
Fax Number	:	310-862-6817

Provider Business Practice Location Address
First Line	:	12575 BEATRICE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-7001
Country	:	US
Telephone Number	:	323-438-0483
Fax Number	:	310-862-6817

Authorized Official
Title or Position	:	COO
Name	:	MR. JEFF MARINUCCI
Credential	:
Telephone Number	:	323-438-0483

Provider Enumeration Date	:	03/12/2019
Last Update Date	:	06/27/2020

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Directions to “URGENTPOINT WELLNESS, PC ” Practice Location

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