Organization
EASTLAKE URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAREK M HASSANEIN (ADMINISTRATOR)
(619) 990-1698
Entity
Organization
Contact information
Practice address
2436 FENTON ST BLDG 6, CHULA VISTA, CA 91914-3516
(619) 581-0509
Mailing address
2436 FENTON ST BLDG 6, CHULA VISTA, CA 91914-3516
(619) 581-0509
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
10/15/2025
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