Organization
RANCHO URGENT CARE PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT OVSEPYAN (MANAGER)
(818) 653-0404
Entity
Organization
Contact information
Practice address
10841 WHITE OAK AVE, STE 101, RANCHO CUCAMONGA, CA 91730-3811
(909) 481-7501
(909) 980-4376
Mailing address
10841 WHITE OAK AVE, STE 101, RANCHO CUCAMONGA, CA 91730-3811
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY47439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5622697
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
08/22/2020
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