Organization
FAMILY URGENT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KILANI SUHEIR (PHYSICIAN ASSISTANCE)
(714) 610-2584
Entity
Organization
Contact information
Practice address
103 N BROOKHURST ST STE 103, ANAHEIM, CA 92801-5605
(657) 217-1913
Mailing address
103 N BROOKHURST ST STE 103, ANAHEIM, CA 92801-5605
(657) 217-1913
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
A48947
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18023
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
07/06/2017
Last updated
07/21/2022
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