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SAN MIGUEL URGENT CARE NPI 1164689048


NPI Information

NPI: 1164689048
Provider Name: SAN MIGUEL URGENT CARE
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
2625 E FLORENCE AVE STE D
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 588-3800
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SAN MIGUEL URGENT CARE is a point of service in Huntington Park, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. SAN MIGUEL URGENT CARE NPI is 1164689048. The provider is registered as an organization entity type.

The provider's business location address is:

2625 E FLORENCE AVE STE D
HUNTINGTON PARK, CA
ZIP 90255-756
Phone: (323) 588-3800
Fax: (323) 277-0399

The provider's authorized official is Sepehr Katiraie .
The authorized official title is Owner and has the following contact phone number (323) 588-3800.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceA54478CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.