Organization Name: | CAMBRIDGE MEDICAL CENTER URGENT CARE |
NPI Number: | 1184874414 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FARID GHEBLEH (DOCTOR) |
Mailing Address: | 13624 W Camino Del Sol Suite 100 Sun City West |
State: | AZ US |
Postal Code: | 853753403 |
Phone Number: | 6232141717 |
Fax Number: | 6232142593 |
NPI Enumeration Date: | 09/23/2008 |
NPI Last Update Date: | 09/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | OTC3840 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |