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Organization

ENNEAD ENTERPRISES CORP.

Active
Other names
S.C. Physicians Immediate Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN SCOTT TRABER RN (PRESIDENT, MEDICAL AFFAIRS)
(661) 255-2880
Entity
Organization

Contact information

Practice address
23501 CINEMA DR., SUITE 100, VALENCIA, CA 91355
(661) 255-2880
(661) 255-2190
Mailing address
2426 CAROL PARK PL, MONTROSE, CA 91020-1112
(661) 255-2880
(661) 255-2190

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
06/14/2006
Last updated
04/07/2009
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