HOAG URGENT CARE TUSTIN INC NPI 1346559879

NPI Information

NPI: 1346559879
Provider Name: HOAG URGENT CARE TUSTIN INC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2153171

Address:
2560 BRYAN AVE
SUITE A
TUSTIN, CA
ZIP 92782
Phone: (714) 389-3500
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HOAG URGENT CARE TUSTIN INC is an urgent care clinic center in Tustin, CA. HOAG URGENT CARE TUSTIN INC NPI is 1346559879. The provider is registered as an organization entity type.

The provider's business location address is:

2560 BRYAN AVE
SUITE A
TUSTIN, CA
ZIP 92782-922
Phone: (714) 389-3500
Fax: (714) 389-6500

The provider's authorized official is Jennifer Erica Amster .
The authorized official title is Chief Operating Officer and has the following contact phone number (714) 389-3500.

The CLIA number assigned to this NPI record is 05D2153171 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2010 and was last updated on 3/1/2011.

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	261QP2300X	Clinic/Center	Primary Care	G34265	CALIFORNIA	No
2	261QX0100X	Clinic/Center	Occupational Medicine	G34265	CALIFORNIA	No
3	261QU0200X	Clinic/Center	Urgent Care	G34265	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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