# HOAG URGENT CARE TUSTIN INC

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

## Provider details

- **NPI number:** 1346559879
- **Authorized official:** MRS. JENNIFER ERICA AMSTER (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (714) 389-3500

## Contact information

- **Practice address:** 2560 BRYAN AVE, SUITE A, TUSTIN, CA 92782-8922
- **Practice address phone:** (714) 389-3500
- **Practice address fax:** (714) 389-6500
- **Mailing address:** 18231 IRVINE BLVD STE 204, TUSTIN, CA 92780-3432
- **Mailing address phone:** (714) 389-5700
- **Mailing address fax:** (714) 389-6973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | G34265 | CA | — |
| 261QU0200X | Urgent Care Clinic/Center | G34265 | CA | Yes |
| 261QX0100X | Occupational Medicine Clinic/Center | G34265 | CA | — |

## Other

- **Enumeration date:** 10/01/2010
- **Last updated:** 03/01/2011