# EXPRESS LANE URGENT CARE FREMONT, INC

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

## Provider details

- **NPI number:** 1891075016
- **Authorized official:** PAUL ROGER ANDERSON (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (209) 535-7500

## Contact information

- **Practice address:** 1999 MOWRY AVE, SUITE L, FREMONT, CA 94538-1738
- **Practice address phone:** (510) 791-6220
- **Practice address fax:** (510) 791-2378
- **Mailing address:** 1999 MOWRY AVE, SUITE L, FREMONT, CA 94538-1738
- **Mailing address phone:** (510) 791-6220
- **Mailing address fax:** (510) 791-2378

## Taxonomy

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

## Other

- **Enumeration date:** 08/18/2011
- **Last updated:** 08/18/2011