Organization
OC URGENTCARE MEDICAL GROUP, INC
Active
Parent organization
OC URGENTCARE MEDICAL GROUP, INC
Other names
OC UrgentCare Lake Forest
Organization subpart
Yes
Provider details
NPI number
Legal business name
OC URGENTCARE MEDICAL GROUP, INC
Authorized official
NAHLA H. SALEM (MEDICAL DIRECTOR)
(248) 508-6131
Entity
Organization
Contact information
Practice address
23653 EL TORO RD STE B, LAKE FOREST, CA 92630-8614
(949) 317-0312
Mailing address
PO BOX 2638, ANAHEIM, CA 92814-0638
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB088A
MEDICARE PTAN
CA
Enumeration date
01/19/2023
Last updated
01/19/2023
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