BLACK ROCK MEDICAL CARE INC. NPI 1205203882

NPI Information

BLACK ROCK MEDICAL CARE, INC. is an urgent care clinic center in Valencia, CA. BLACK ROCK MEDICAL CARE, INC. NPI is 1205203882. The provider is registered as an organization entity type.
The provider Is Doing Business As Henry Mayo Urgent Care Center.

The provider's business location address is:

23929 MCBEAN PKWY STE 102
VALENCIA, CA
ZIP 91355-467
Phone: (661) 200-2500
Fax: (661) 200-2504

The provider's authorized official is Tracy Norman Lawrence .
The authorized official title is Owner and has the following contact phone number (661) 200-2500.

The CLIA number assigned to this NPI record is 05D2115911 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/30/2015 and was last updated on 8/17/2022.

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:

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