Provider Demographics
NPI:1447970546
Name:MEDPARTNERS URGENT CARE
Entity type:Organization
Organization Name:MEDPARTNERS URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-842-7145
Mailing Address - Street 1:4418 VINELAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:TOLUCA
Mailing Address - State:CA
Mailing Address - Zip Code:91602-3457
Mailing Address - Country:US
Mailing Address - Phone:818-842-7145
Mailing Address - Fax:818-953-2839
Practice Address - Street 1:4418 VINELAND AVENUE
Practice Address - Street 2:
Practice Address - City:TOLUCA
Practice Address - State:CA
Practice Address - Zip Code:91602-3457
Practice Address - Country:US
Practice Address - Phone:818-842-7145
Practice Address - Fax:818-953-2839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care