Organization
NELLIE GAIL URGENT CARE MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK BAILEY VU M.D. (PHYSICIAN)
(949) 600-1907
Entity
Organization
Contact information
Practice address
27001 MOULTON PKWY, SUITE A-102, LAGUNA HILLS, CA 92656-3626
(949) 600-1907
(949) 600-1912
Mailing address
27001 MOULTON PKWY, SUITE A-102, LAGUNA HILLS, CA 92656-3626
(949) 600-1907
(949) 600-1912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
FNP544683
CA
Other
Enumeration date
04/08/2015
Last updated
09/22/2015
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