Provider Demographics
NPI:1629959812
Name:SIMI VALLEY REGIONAL URGENT CARE
Entity type:Organization
Organization Name:SIMI VALLEY REGIONAL URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:M
Authorized Official - Last Name:ESTACIO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:661-673-3204
Mailing Address - Street 1:2925 SYCAMORE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1208
Mailing Address - Country:US
Mailing Address - Phone:805-468-7828
Mailing Address - Fax:805-468-7830
Practice Address - Street 1:2925 SYCAMORE DR STE 101
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1208
Practice Address - Country:US
Practice Address - Phone:805-468-7828
Practice Address - Fax:805-468-7830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care