| Organization Name: | HOAG URGENT CARE - RSM INC |
| NPI Number: | 1043504103 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT C AMSTER (OWNER) |
| Mailing Address: | 18231 Irvine Blvd Ste 204 Tustin |
| State: | CA US |
| Postal Code: | 927803432 |
| Phone Number: | 7143895700 |
| Fax Number: | 7143896973 |
| NPI Enumeration Date: | 06/07/2011 |
| NPI Last Update Date: | 06/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | G34265 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |