MEDICARE: ABSOLUTE MEDICAL

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	A98701	CA

General Provider Information

NPI Number	:	1871993691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE MEDICAL

Provider Business Mailing Address
First Line	:	12417 FAIR OAKS BLVD
Second Line	:	SUITE # 600
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-2501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12417 FAIR OAKS BLVD
Second Line	:	SUITE # 600
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-2501
Country	:	US
Telephone Number	:	916-727-1400
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. MASARU OSHITA
Credential	:	M.D.
Telephone Number	:	916-727-1400

Provider Enumeration Date	:	08/28/2014
Last Update Date	:	11/14/2014

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Directions to “ABSOLUTE MEDICAL ” Practice Location

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