# CASTAIC URGENT CARE, INC.

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

## Provider details

- **NPI number:** 1245583749
- **Authorized official:** MR. LEE JACKSON JR. (COO / OWNER)
- **Authorized official phone:** (805) 253-6708

## Contact information

- **Practice address:** 31905 CASTAIC ROAD, CASTAIC, CA 91384
- **Practice address phone:** (661) 294-0700
- **Practice address fax:** (661) 294-0701
- **Mailing address:** 31905 CASTAIC ROAD, CASTAIC, CA 91384
- **Mailing address phone:** (661) 294-0700
- **Mailing address fax:** (661) 294-0701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | CA | — |
| 208800000X | Urology Physician | G82000 | CA | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/22/2012
- **Last updated:** 12/19/2012