# ADVANCED URGENT CARE OF CITY LINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033400320
- **Authorized official:** DR. MEHDI NIKPARVAR M.D. (OWNER)
- **Authorized official phone:** (215) 921-6510

## Contact information

- **Practice address:** 5058 CITY LINE AVE., PHILA, PA 19131
- **Practice address phone:** (215) 921-6510
- **Practice address fax:** (215) 921-6985
- **Mailing address:** 5058 CITY LINE AVE., PHILA, PA 19131
- **Mailing address phone:** (215) 921-6510
- **Mailing address fax:** (215) 921-6985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/21/2011
- **Last updated:** 03/08/2013