Organization
HOAG URGENT CARE TUSTIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ERICA AMSTER (CHIEF OPERATING OFFICER)
(714) 389-3500
Entity
Organization
Contact information
Practice address
2560 BRYAN AVE, SUITE A, TUSTIN, CA 92782-8922
(714) 389-3500
(714) 389-6500
Mailing address
18231 IRVINE BLVD STE 204, TUSTIN, CA 92780-3432
(714) 389-5700
(714) 389-6973
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
G34265
CA
261QU0200X
Urgent Care Clinic/Center
Primary
G34265
CA
261QX0100X
Occupational Medicine Clinic/Center
G34265
CA
Other
Enumeration date
10/01/2010
Last updated
03/01/2011
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