| Organization Name: | MERIDIAN URGENT CARE AND OCCUPATIONAL HEALTH CENTER A PROFESSIONAL COR |
| NPI Number: | 1073743183 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAN VASILE (OWNER/PRESIDENT) |
| Mailing Address: | 1301 E. Main St. Barstow |
| State: | CA US |
| Postal Code: | 923113219 |
| Phone Number: | 7602427707 |
| Fax Number: | 7602421133 |
| NPI Enumeration Date: | 07/23/2009 |
| NPI Last Update Date: | 05/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 20A6930 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |