# SENTINEL CARE MEDICAL GROUP INC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356955736
- **Authorized official:** DR. MAXWELL JEN (CEO, MEDICAL DIRECTOR)
- **Authorized official phone:** (909) 964-9472

## Contact information

- **Practice address:** 505 N TUSTIN AVE STE 195, SANTA ANA, CA 92705-3775
- **Practice address phone:** (909) 964-9472
- **Mailing address:** 505 N TUSTIN AVE STE 195, SANTA ANA, CA 92705-3775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2020
- **Last updated:** 12/22/2021