Organization
VITUITY - URGENT CARE SERVICES PC
Active
Other names
Vituity Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE G. KOURY MD (PRESIDENT)
(510) 350-2842
Entity
Organization
Contact information
Practice address
23962 ALICIA PKWY STE I-1, MISSION VIEJO, CA 92691-3940
(949) 452-7699
(949) 770-2815
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/02/2020
Last updated
06/06/2021
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