Organization Name: | REGENCY URGENT CARE MEDICAL CORP |
NPI Number: | 1356394480 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FAUFOUINA A AFATO (MEDICAL DIRECTOR CEO) |
Mailing Address: | 1429 Colusa Hwy Suite B Yuba City |
State: | CA US |
Postal Code: | 95993 |
Phone Number: | 5306747000 |
Fax Number: | 5307553219 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 01/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 4476370001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |