Organization
PACIFIC URGENT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAYMOUR MALAK (MD OWNER)
(209) 475-9500
Entity
Organization
Contact information
Practice address
1782 W HAMMER LN, STOCKTON, CA 95209-2922
(209) 475-9500
(209) 475-9599
Mailing address
4719 QUAIL LAKES DR, PMB 244 SUITE G, STOCKTON, CA 95207-5267
(209) 475-9500
(209) 475-9599
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098260
—
CA
Enumeration date
01/19/2006
Last updated
03/19/2020
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