# EXECUTIVE URGENT CARE OF INDIAN WELLS

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

## Provider details

- **NPI number:** 1801181961
- **Authorized official:** DR. DAVID H TANG M.D (OWNER)
- **Authorized official phone:** (760) 346-3932

## Contact information

- **Practice address:** 74785 HIGHWAY 111, SUITE 100, INDIAN WELLS, CA 92210
- **Practice address phone:** (760) 346-3932
- **Practice address fax:** (760) 346-8584
- **Mailing address:** 74785 HIGHWAY 111, SUITE 100, INDIAN WELLS, CA 92210
- **Mailing address phone:** (760) 346-3932
- **Mailing address fax:** (760) 346-8584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | G44271 | CA | Yes |

## Other

- **Enumeration date:** 06/16/2011
- **Last updated:** 06/16/2011
