# PRESTIGE MEDICAL CLINIC AND URGENT CARE INC

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

## Provider details

- **NPI number:** 1396683801
- **Authorized official:** EMY ODURO-BURTON DNP-BC (PRESIDENT)
- **Authorized official phone:** (909) 447-1800

## Contact information

- **Practice address:** 12709 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91739-9761
- **Practice address phone:** (909) 377-1800
- **Practice address fax:** (909) 377-0200
- **Mailing address:** 12709 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91739-9761
- **Mailing address phone:** (909) 377-1800
- **Mailing address fax:** (909) 377-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2026
- **Last updated:** 07/11/2026