Organization
REGENCY URGENT CARE MEDICAL CORP
Active
Parent organization
AFATO MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFATO MEDICAL CORPORATION
Authorized official
DR. FAUFOUINA A AFATO MD (MEDICAL DIRECTOR CEO)
(550) 674-7000
Entity
Organization
Contact information
Practice address
1429 COLUSA HWY, SUITE B, YUBA CITY, CA 95993
(530) 674-7000
(530) 755-3219
Mailing address
1429 COLUSA HWY, SUITE B, YUBA CITY, CA 95993-9092
(530) 674-7000
(530) 755-3219
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
G76223
CA
332B00000X
Durable Medical Equipment & Medical Supplies
4476370001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNP29781
FICT BUS LICENSE
CA
01
—
P00049345
MEDICARE RAILROAD PIN
CA
Enumeration date
05/18/2006
Last updated
10/24/2016
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