# ENNEAD ENTERPRISES CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SC Physicians Immediate Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174670210
- **Authorized official:** MRS. LILLY ROSE MARSHALL M.D. (DIRECTOR)
- **Authorized official phone:** (661) 255-2880

## Contact information

- **Practice address:** 23501 CINEMA DR., SUIRE \#100, VALENCIA, CA 91355
- **Practice address phone:** (661) 255-2880
- **Practice address fax:** (661) 255-2190
- **Mailing address:** 26012 OHARA LN, STEVENSON RANCH, CA 91381-1109
- **Mailing address phone:** (661) 255-6920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | G52007 | CA | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 08/22/2020