ACTION URGENT CARE INC NPI 1205186442

NPI Information

NPI: 1205186442
Provider Name: ACTION URGENT CARE INC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2118903

Address:
1375 BLOSSOM HILL RD
SAN JOSE, CA
ZIP 95118
Phone: (626) 791-9004
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ACTION URGENT CARE INC is an urgent care clinic center in San Jose, CA. ACTION URGENT CARE INC NPI is 1205186442. The provider is registered as an organization entity type.

The provider's business location address is:

1375 BLOSSOM HILL RD
SAN JOSE, CA
ZIP 95118-806
Phone: (626) 791-9004
Fax: (626) 791-9005

The provider's authorized official is Vladimir G Skorokhod .
The authorized official title is Ceo and has the following contact phone number (559) 827-6130.

The CLIA number assigned to this NPI record is 05D2118903 - mobile laboratory with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/14/2012 and was last updated on 1/22/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory				No
2	261QU0200X	Clinic/Center	Urgent Care	A98375	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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