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Organization
SAN JUAN FAMILY HEALTH URGENT CARE MEDICAL CENTER
Active
Organization
SAN JUAN FAMILY HEALTH URGENT CARE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAHROKH POORMEHR D.O. (D.O., PRESIDENT)
(949) 248-9797
Entity
Organization
Contact information
Practice address
32112 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675-3717
(949) 248-9797
(949) 388-3336
Mailing address
32112 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675-3717
(949) 248-9797
(949) 388-3336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A6385
CA
261Q00000X
Clinic/Center
20A6385
CA
261QU0200X
Urgent Care Clinic/Center
Primary
20A6385
CA
Other
Enumeration date
08/25/2007
Last updated
03/11/2015
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