Organization
SAN JUAN FAMILY HEALTH URGENT CARE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAHROKH POORMEHR D.O. (D.O., PRESIDENT)
(949) 248-9797
Entity
Organization
Contact information
Practice address
32112 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675-3717
(949) 248-9797
(949) 388-3336
Mailing address
32112 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675-3717
(949) 248-9797
(949) 388-3336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A6385
CA
261Q00000X
Clinic/Center
20A6385
CA
261QU0200X
Urgent Care Clinic/Center
Primary
20A6385
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX63850
—
CA
01
—
20A6385
STATE LICENSE
CA
01
—
DC5333
RAILROAD MEDICARE
CA
01
—
ZZZ57256Z
BLUE SHIELD
CA
Enumeration date
08/25/2007
Last updated
03/11/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us