Organization
SAN MIGUEL URGENT CARE ANAHEIM A PROFESSIONAL CORPORATION
Active
Parent organization
SAN MIGUEL URGENT CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN MIGUEL URGENT CARE
Authorized official
DR. MAHFOUZ MICHAEL M.D. (PRESIDENT)
(714) 494-1331
Entity
Organization
Contact information
Practice address
710 S BROOKHURST ST STE A, ANAHEIM, CA 92804-4321
(714) 494-1331
(714) 494-1332
Mailing address
710 S BROOKHURST ST STE A, ANAHEIM, CA 92804-4321
(714) 494-1331
(714) 494-1332
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
A34248
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0016856
—
CA
Enumeration date
01/09/2017
Last updated
04/18/2017
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