Organization
ADVANCE URGENT MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARA SAGHAFI M.D (PRESIDENT)
(714) 542-9700
Entity
Organization
Contact information
Practice address
1401 W 1ST ST, STE. 101, SANTA ANA, CA 92703-3757
(714) 542-9700
Mailing address
1401 W 1ST ST, STE. 101, SANTA ANA, CA 92703-3757
(714) 542-9700
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A76958
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144320672
GROUP RENDERING PROVIDER
CA
01
—
1184821464
GROUP RENDERING PROVIDER L NUMBER
CA
01
—
1487834016
GROUP RENDERING PROVIDER NUMBER
CA
01
—
1942417365
GROUP RENDERING PROVIDER NUMBER
CA
Enumeration date
10/28/2008
Last updated
04/23/2009
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