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EXECUTIVE URGENT CARE OF INDIAN WELLS NPI 1801181961


NPI Information

NPI: 1801181961
Provider Name: EXECUTIVE URGENT CARE OF INDIAN WELLS
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2261530

Address:
74785 HIGHWAY 111
SUITE 100
INDIAN WELLS, CA
ZIP 92210
Phone: (760) 346-3932
Get Directions

EXECUTIVE URGENT CARE OF INDIAN WELLS is an urgent care clinic center in Indian Wells, CA. EXECUTIVE URGENT CARE OF INDIAN WELLS NPI is 1801181961. The provider is registered as an organization entity type.

The provider's business location address is:

74785 HIGHWAY 111
SUITE 100
INDIAN WELLS, CA
ZIP 92210
Phone: (760) 346-3932
Fax: (760) 346-8584

The provider's authorized official is David H Tang .
The authorized official title is Owner and has the following contact phone number (760) 346-3932.

The CLIA number assigned to this NPI record is 05D2261530 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2011 and was last updated on 6/16/2011.


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
1261QU0200XClinic/CenterUrgent CareG44271CALIFORNIAYes

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

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