Organization
MDSTAT URGENT CARE, INC
Active
Other names
MD Stat Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON MONESS MD (OWNER)
(916) 678-5291
Entity
Organization
Contact information
Practice address
3860 EL DORADO HILLS BLVD, SUITE 601, EL DORADO HILLS, CA 95762-4563
(916) 941-9222
Mailing address
484 HOWE AVE, SACRAMENTO, CA 95825-5507
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A053163
CALIFORNIA MEDICAL LICENCE
CA
Enumeration date
11/04/2015
Last updated
10/01/2018
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