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MANTECA URGENT CARE INC NPI 1780107888


NPI Information

NPI: 1780107888
Provider Name: MANTECA URGENT CARE, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2135983

Address:
241 W YOSEMITE AVE
MANTECA, CA
ZIP 95336
Phone: (209) 239-0320
Get Directions

MANTECA URGENT CARE, INC is a family medicine in Manteca, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MANTECA URGENT CARE, INC NPI is 1780107888. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

241 W YOSEMITE AVE
MANTECA, CA
ZIP 95336-603
Phone: (209) 239-0320
Fax: (209) 239-0321

The provider's authorized official is Min Wu .
The authorized official title is Ceo and has the following contact phone number (209) 585-1066.

The CLIA number assigned to this NPI record is 05D2135983 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2017 and was last updated on 10/26/2017.


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
1207Q00000XFamily MedicineA89677CALIFORNIAYes

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

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