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Organization
CASTAIC URGENT CARE, INC.
Active
Organization
CASTAIC URGENT CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE JACKSON JR. (COO / OWNER)
(805) 253-6708
Entity
Organization
Contact information
Practice address
31905 CASTAIC ROAD, CASTAIC, CA 91384
(661) 294-0700
(661) 294-0701
Mailing address
31905 CASTAIC ROAD, CASTAIC, CA 91384
(661) 294-0700
(661) 294-0701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
CA
208800000X
Urology Physician
G82000
CA
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/22/2012
Last updated
12/19/2012
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