Organization Name: | ADVANCED URGENT CARE OF CITY LINE |
NPI Number: | 1033400320 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEHDI NIKPARVAR (OWNER) |
Mailing Address: | 5058 City Line Ave. Phila |
State: | PA US |
Postal Code: | 19131 |
Phone Number: | 2159216510 |
Fax Number: | 2159216985 |
NPI Enumeration Date: | 04/21/2011 |
NPI Last Update Date: | 03/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |