Organization
EXECUTIVE URGENT CARE OF INDIAN WELLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H TANG M.D (OWNER)
(760) 346-3932
Entity
Organization
Contact information
Practice address
74785 HIGHWAY 111, SUITE 100, INDIAN WELLS, CA 92210
(760) 346-3932
(760) 346-8584
Mailing address
74785 HIGHWAY 111, SUITE 100, INDIAN WELLS, CA 92210
(760) 346-3932
(760) 346-8584
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
G44271
CA
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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