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Organization
OROSI URGENT CARE,
Active
Organization
OROSI URGENT CARE,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENITO RIVAS JR. PA-C (CEO)
(559) 528-6966
Entity
Organization
Contact information
Practice address
41696 ROAD 128, OROSI, CA 93647-2059
(559) 528-6966
(559) 528-3665
Mailing address
41696 ROAD 128, OROSI, CA 93647-2059
(559) 528-6966
(559) 528-3665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G48642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNP34225
FICTITIOUS NAME PERMIT
CA
01
—
RHM08925F
RURAL HEALTH CLINIC IDENTIFIER
—
01
—
ZZZ02389Z
MEDICARE PROVIDER NUMBER
CA
Enumeration date
06/01/2006
Last updated
04/28/2009
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