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NPI Code Detail

MEDICARE: AVANTI URGENT CARE

MEDICARE: AVANTI 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 : 1831816461
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVANTI URGENT CARE
Provider Business Mailing Address
First Line : 19267 COLIMA RD STE K
Second Line :
City : ROWLAND HEIGHTS
State : CA
Zip : 91748-3007
Country : US
Telephone Number : 224-409-8497
Fax Number : 760-330-2114
Provider Business Practice Location Address
First Line : 19267 COLIMA RD STE K
Second Line :
City : ROWLAND HEIGHTS
State : CA
Zip : 91748-3007
Country : US
Telephone Number : 224-409-8497
Fax Number : 760-330-2114
Authorized Official
Title or Position : RN/ADMINISTRATOR
Name : MR. TERRA LEE
Credential : RN
Telephone Number : 224-409-8497
Provider Enumeration Date : 10/25/2022
Last Update Date : 10/25/2022

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Directions to “AVANTI URGENT CARE ” Practice Location

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