Organization
PASADENA URGENT CARE, INC
Active
Other names
Advanced Urgent Care of Pasadena
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC HOWARD SHOMER MD (CEO)
(626) 304-0404
Entity
Organization
Contact information
Practice address
797 S ARROYO PKWY, PASADENA, CA 91105-3234
(626) 304-0404
(626) 304-0405
Mailing address
PO BOX 1075, DANA POINT, CA 92629-5075
(626) 304-0404
(626) 304-0405
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
A95190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB213364
MEDICARE PTAN
CA
01
—
CB214392
MEDICARE PTAN
CA
Enumeration date
01/21/2014
Last updated
02/02/2021
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