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EXPRESS MEDICINE URGENT CARE INC. NPI 1578818696


NPI Information

NPI: 1578818696
Provider Name: EXPRESS MEDICINE URGENT CARE, INC.
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2046512

Address:
5700 STONERIDGE MALL RD
SUITE 100
PLEASANTON, CA
ZIP 94588
Phone: (925) 915-9530
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EXPRESS MEDICINE URGENT CARE, INC. is an urgent care clinic center in Pleasanton, CA. EXPRESS MEDICINE URGENT CARE, INC. NPI is 1578818696. The provider is registered as an organization entity type.

The provider's business location address is:

5700 STONERIDGE MALL RD
SUITE 100
PLEASANTON, CA
ZIP 94588-822
Phone: (925) 915-9530

The provider's authorized official is Chao Sun .
The authorized official title is President/director and has the following contact phone number (925) 915-9530.

The CLIA number assigned to this NPI record is 05D2046512 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2012 and was last updated on 7/14/2012.


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
1261QU0200XClinic/CenterUrgent CareA101860CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11013118884MEDICARE PINCALIFORNIA

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: 11/14/2023

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