Organization
CARE 1ST PRIMARY AND URGENT CARE CENTER - LANCASTER
Active
Parent organization
CARE1ST HEALTH PLAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARE1ST HEALTH PLAN
Authorized official
MICHELLE TYSON MD (MD)
(661) 948-2400
Entity
Organization
Contact information
Practice address
44426 10TH ST W, A, LANCASTER, CA 93534-3325
(661) 948-2400
Mailing address
44426 10TH ST W, A, LANCASTER, CA 93534-3325
(661) 948-2400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
261QP2300X
Primary Care Clinic/Center
—
CA
261QU0200X
Urgent Care Clinic/Center
—
CA
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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