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Organization
ENNEAD ENTERPRISES CORP.
Active
Organization
ENNEAD ENTERPRISES CORP.
Active
Other names
S.C. Physicians Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN SCOTT TRABER RN (PRESIDENT, MEDICAL AFFAIRS)
(661) 255-2880
Entity
Organization
Contact information
Practice address
23501 CINEMA DR., SUITE 100, VALENCIA, CA 91355
(661) 255-2880
(661) 255-2190
Mailing address
2426 CAROL PARK PL, MONTROSE, CA 91020-1112
(661) 255-2880
(661) 255-2190
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/14/2006
Last updated
04/07/2009
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