# SAND CANYON MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962688390
- **Authorized official:** MATTHEW MULLARKY M.D. (PRESIDENT)
- **Authorized official phone:** (949) 417-0272

## Contact information

- **Practice address:** 16100 SAND CANYON AVE, SUITE 150, IRVINE, CA 92618-3716
- **Practice address phone:** (949) 417-0272
- **Mailing address:** PO BOX 96365, OKLAHOMA CITY, OK 73143-6365

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 08/13/2008