| Organization Name: | DV URGENT CARE MEDICAL GROUP, INC. |
| NPI Number: | 1164738803 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELISSA CASAREZ (OFFICE MANAGER) |
| Mailing Address: | 6080 Hamner Ave Suite# 100 Eastvale |
| State: | CA US |
| Postal Code: | 917523662 |
| Phone Number: | 9513610104 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2010 |
| NPI Last Update Date: | 03/16/2011 |
| 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: | |