Organization Name: | INLAND URGENT CARE, A MEDICAL CORPORATION |
NPI Number: | 1003286253 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT K BECK (PRESIDENT) |
Mailing Address: | 29997 Canyon Hills Rd Suite 1604 Lake Elsinore |
State: | CA US |
Postal Code: | 925322581 |
Phone Number: | 9518213252 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2015 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |