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MYDOC URGENT CARE NPI 1689067472


NPI Information

NPI: 1689067472
Provider Name: MYDOC URGENT CARE

Other Name: MYDOC HEALTHCARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 39D2098197

Address:
1420 LOCUST ST UNIT R1A
PHILADELPHIA, PA
ZIP 19102
Phone: (215) 350-3956
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MYDOC URGENT CARE is an urgent care clinic center in Philadelphia, PA. MYDOC URGENT CARE NPI is 1689067472. The provider is registered as an organization entity type.
The provider Other Name Is Mydoc Healthcare.

The provider's business location address is:

1420 LOCUST ST UNIT R1A
PHILADELPHIA, PA
ZIP 19102-223
Phone: (215) 350-3956

The provider's authorized official is Jingjing Cai .
The authorized official title is President and has the following contact phone number (215) 350-3956.

The CLIA number assigned to this NPI record is 39D2098197 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2015 and was last updated on 5/2/2015.


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
1261QP2000XClinic/CenterPhysical TherapyNo
2261QP2300XClinic/CenterPrimary CareNo
3261QX0100XClinic/CenterOccupational MedicineNo
4261QU0200XClinic/CenterUrgent CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.