Organization
AE URGENT CARE - VAN NUYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCHUYLER HEIRD (VICE PRESIDENT)
(747) 264-1212
Entity
Organization
Contact information
Practice address
14614 VICTORY BLVD, VAN NUYS, CA 91411-1621
(747) 264-1212
Mailing address
14614 VICTORY BLVD, VAN NUYS, CA 91411-1621
(747) 264-1212
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003053851
LA CARE
CA
Enumeration date
03/30/2022
Last updated
03/04/2024
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