# OC URGENTCARE MEDICAL GROUP INCORPORATED

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

## Provider details

- **NPI number:** 1083940597
- **Authorized official:** MOUSTAFA OTHMAN (CFO)
- **Authorized official phone:** (248) 508-6131

## Contact information

- **Practice address:** 631 S BROOKHURST ST STE 101, ANAHEIM, CA 92804-3563
- **Practice address phone:** (714) 991-5700
- **Practice address fax:** (714) 991-5800
- **Mailing address:** PO BOX 2638, ANAHEIM, CA 92814-0638
- **Mailing address phone:** (714) 991-5700
- **Mailing address fax:** (714) 991-5800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | BUS2009-03901 | CA | Yes |

## Other

- **Enumeration date:** 10/19/2009
- **Last updated:** 12/06/2023
