Organization Name: | ALLIANCE URGENT CARE, INC |
NPI Number: | 1023483377 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN ELLIS (OWNER) |
Mailing Address: | 31150 Temecula Pkwy Suite 101 Temecula |
State: | CA US |
Postal Code: | 925922916 |
Phone Number: | 9516924660 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2015 |
NPI Last Update Date: | 12/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | G70713 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |