# REDLANDS UCC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDVANTX, INC
- **Other names:** Beaver Medical Group - Redlands Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215271424
- **Legal business name:** MEDVANTX, INC
- **Authorized official:** KENNY HEINE (VP/OPS)
- **Authorized official phone:** (858) 964-1506

## Contact information

- **Practice address:** 245 TERRACINA BLVD, 102, REDLANDS, CA 92373-4852
- **Practice address phone:** (909) 792-2605
- **Mailing address:** 5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | A76937 | CA | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/15/2012