Organization
SICK CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HSU (CFO)
(562) 244-1959
Entity
Organization
Contact information
Practice address
2507 EASTBLUFF DR STE C, NEWPORT BEACH, CA 92660-3504
(888) 544-9262
(949) 264-9028
Mailing address
2507 EASTBLUFF DR STE C, NEWPORT BEACH, CA 92660-3504
(888) 544-9262
(949) 264-9028
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100885
MEDICAL LICENSE
CA
01
—
TPME1713
TELEMEDICINE LICENSE
FL
Enumeration date
02/22/2021
Last updated
12/28/2021
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