MEDICARE: EMERGENCY PHYSICIANS URGENT CARE 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
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1568171452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERGENCY PHYSICIANS URGENT CARE INC.

Provider Business Mailing Address
First Line	:	212 COFFEE RD STE 100
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-1273
Country	:	US
Telephone Number	:	661-885-6060
Fax Number	:	661-885-6085

Provider Business Practice Location Address
First Line	:	24799 ALICIA PKWY
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-4618
Country	:	US
Telephone Number	:	661-829-6747
Fax Number	:	661-829-6937

Authorized Official
Title or Position	:	OWNER
Name	:	ARTIN MASSIHI
Credential	:	MD
Telephone Number	:	661-829-6747

Provider Enumeration Date	:	11/18/2022
Last Update Date	:	11/18/2022

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