# DYER'S URGENT CARE MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1356350896
- **Authorized official:** DR. BRENT W RIDDER M.D. (PHYSICIAN AND OWNDER)
- **Authorized official phone:** (949) 206-4633

## Contact information

- **Practice address:** 23961 CALLE DE LA MAGDALENA, SUITE 115, LAGUNA HILLS, CA 92653-3616
- **Practice address phone:** (949) 206-4633
- **Practice address fax:** (949) 855-2314
- **Mailing address:** 23961 CALLE DE LA MAGDALENA, SUITE 115, LAGUNA HILLS, CA 92653-3616
- **Mailing address phone:** (949) 206-4633
- **Mailing address fax:** (949) 855-2314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | A80485 | CA | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 08/22/2020
