Organization
LA PALMA URGENT & FAMILY CARE INC.
Active
Other names
La Palma Urgent & Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
SIDDIQ AHMED KHAWAJA ADMINISTRATOR (ADMINISTRATOR)
(714) 994-2273
Entity
Organization
Contact information
Practice address
7851 WALKER ST STE 102, LA PALMA, CA 90623-1734
(714) 994-2273
(714) 994-2224
Mailing address
7851 WALKER ST STE 102, LA PALMA, CA 90623-1734
(714) 994-2273
(714) 994-2224
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C42493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
—
05
—
00C424931
—
CA
Enumeration date
04/30/2009
Last updated
05/21/2020
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