Organization Name: | AMERICAN CURRENT CARE OF CALIFORNIA, A MEDICAL CORPORATION |
NPI Number: | 1023207065 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY L. WAINSTEIN (VICE PRESIDENT) |
Mailing Address: | 6174 State Farm Drive Rohnert Park |
State: | CA US |
Postal Code: | 94928 |
Phone Number: | 7075864320 |
Fax Number: | 2147754502 |
NPI Enumeration Date: | 10/16/2007 |
NPI Last Update Date: | 03/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |