Provider Demographics
NPI:1023383601
Name:HAFIZ ULREHMAN PARRAY
Entity Type:Organization
Organization Name:HAFIZ ULREHMAN PARRAY
Other - Org Name:URGENT CARE AT SAN FERNANDO MISSION BL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HAFIZ
Authorized Official - Middle Name:ULREHMAN
Authorized Official - Last Name:PARRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-365-5661
Mailing Address - Street 1:418 SAN FERNANDO MISSION BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-3530
Mailing Address - Country:US
Mailing Address - Phone:818-365-5661
Mailing Address - Fax:818-792-4544
Practice Address - Street 1:418 SAN FERNANDO MISSION BLVD
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-3530
Practice Address - Country:US
Practice Address - Phone:818-365-5661
Practice Address - Fax:818-792-4544
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAFIZ ULREHMAN PARRAY MD, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33111261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A331110Medicaid
CAA84429Medicare UPIN
CA00A331110Medicaid