Organization
OC URGENTCARE MEDICAL GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUSTAFA OTHMAN (CFO)
(248) 508-6131
Entity
Organization
Contact information
Practice address
631 S BROOKHURST ST STE 101, ANAHEIM, CA 92804-3563
(714) 991-5700
(714) 991-5800
Mailing address
PO BOX 2638, ANAHEIM, CA 92814-0638
(714) 991-5700
(714) 991-5800
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
BUS2009-03901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083940597
—
CA
Enumeration date
10/19/2009
Last updated
12/06/2023
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