Organization
ELITE PROVIDER URGENT CARE NETWORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN A. SILVA M.D. (CEO)
(323) 376-0335
Entity
Organization
Contact information
Practice address
201 S ALVARADO ST, STE 100, LOS ANGELES, CA 90057-2320
(213) 989-1900
(213) 989-1923
Mailing address
201 S ALVARADO ST, STE 100, LOS ANGELES, CA 90057-2320
(213) 989-1900
(213) 989-1923
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427208081
NPI
CA
01
—
1659366136
NPI
CA
Enumeration date
08/05/2016
Last updated
12/15/2016
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