Organization Name: | REDDY URGENT CARE,INC |
NPI Number: | 1093062473 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | USHA RANI K REDDY (OWNER/PRESIDENT) |
Mailing Address: | 123 Atlantic Ave Suite B Long Beach |
State: | CA US |
Postal Code: | 908025121 |
Phone Number: | 5622091569 |
Fax Number: | 5627261385 |
NPI Enumeration Date: | 08/06/2012 |
NPI Last Update Date: | 03/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A44317 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |