Organization
FAMILY URGENT CARE
Active
Parent organization
TAREQ A ALI MD APC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAREQ A ALI MD APC
Authorized official
TAREQ A ALI MD (PRESIDENT OF THE CORPORATION)
(209) 339-3797
Entity
Organization
Contact information
Practice address
1520 W KETTLEMAN LN, SUITE B, LODI, CA 95242-9290
(209) 339-3797
(209) 339-3795
Mailing address
1520 W KETTLEMAN LN, SUITE B, LODI, CA 95242-9290
(209) 339-3797
(209) 339-3795
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
A51048
CA
Other
Enumeration date
05/27/2014
Last updated
05/28/2014
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