# GOOD NEIGHBOR CLINIC & URGENT CARE A MEDICAL CORPORATION

> 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
- **Other names:** Good Neighbor Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356956692
- **Authorized official:** DANIEL SHANE SHEIBANI DAVIDSON MD MBA (ADMINISTRATOR)
- **Authorized official phone:** (310) 212-1500

## Contact information

- **Practice address:** 1425 W MANCHESTER AVE STE A, LOS ANGELES, CA 90047-5436
- **Practice address phone:** (323) 991-2300
- **Mailing address:** 1270 S ALFRED ST UNIT 1064, LOS ANGELES, CA 90035-2506
- **Mailing address phone:** (323) 991-2300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 09/14/2020
- **Last updated:** 05/24/2024