Organization
ORTHO URGENT CARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY B. STAUM M.D. (PRESIDENT &CEO)
(310) 301-2030
Entity
Organization
Contact information
Practice address
2400 S FLOWER ST, LOS ANGELES, CA 90007-2629
(213) 742-1013
Mailing address
1700 EAST WALNUT AVENUE, #250, EL SAGUNDO, CA 90245-2605
(310) 301-2030
(310) 306-5247
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
G28196
CA
Other
Enumeration date
05/12/2006
Last updated
11/12/2008
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