Organization
ENNEAD ENTERPRISES CORP
Active
Other names
SC Physicians Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLY ROSE MARSHALL M.D. (DIRECTOR)
(661) 255-2880
Entity
Organization
Contact information
Practice address
23501 CINEMA DR., SUIRE #100, VALENCIA, CA 91355
(661) 255-2880
(661) 255-2190
Mailing address
26012 OHARA LN, STEVENSON RANCH, CA 91381-1109
(661) 255-6920
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
G52007
CA
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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