# PROSPECT FOOTHILL URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEW GENESIS MEDICAL ASSOCIATES, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366834756
- **Legal business name:** NEW GENESIS MEDICAL ASSOCIATES, INC.
- **Authorized official:** MITCHELL W LEW MD (OWNER)
- **Authorized official phone:** (714) 813-5129

## Contact information

- **Practice address:** 14642 NEWPORT AVE STE 101, TUSTIN, CA 92780-6058
- **Practice address phone:** (714) 522-2891
- **Mailing address:** PO BOX 11466, SANTA ANA, CA 92711-1466
- **Mailing address phone:** (714) 522-2891
- **Mailing address fax:** (714) 903-7801

## Taxonomy

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

## Other

- **Enumeration date:** 02/23/2015
- **Last updated:** 03/26/2015