# VITUITY - URGENT CARE SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vituity Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598394686
- **Authorized official:** THEOPHILE G. KOURY MD (PRESIDENT)
- **Authorized official phone:** (510) 350-2842

## Contact information

- **Practice address:** 23962 ALICIA PKWY STE I-1, MISSION VIEJO, CA 92691-3940
- **Practice address phone:** (949) 452-7699
- **Practice address fax:** (949) 770-2815
- **Mailing address:** 1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
- **Mailing address phone:** (510) 350-2842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/02/2020
- **Last updated:** 06/06/2021