MEDICARE: A PLUS WALK-IN URGENT CARE MEDICAL CLINIC, APC

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	:	1659815256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLUS WALK-IN URGENT CARE MEDICAL CLINIC, APC

Provider Business Mailing Address
First Line	:	41880 KALMIA ST
Second Line	:	SUITE 100
City	:	MURRIETA
State	:	CA
Zip	:	92562-8831
Country	:	US
Telephone Number	:	951-696-7587
Fax Number	:	951-461-6973

Provider Business Practice Location Address
First Line	:	31571 CANYON ESTATES DR
Second Line	:	SUITE 100
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92532-0468
Country	:	US
Telephone Number	:	951-696-7587
Fax Number	:	951-245-8880

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. DONALD KIMES
Credential	:	D.O.
Telephone Number	:	951-696-7587

Provider Enumeration Date	:	12/15/2016
Last Update Date	:	12/15/2016

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