Provider Demographics
NPI:1073979043
Name:PROXIMITY MD URGENT CARE, INC.
Entity Type:Organization
Organization Name:PROXIMITY MD URGENT CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-829-7050
Mailing Address - Street 1:3409 CALLOWAY DR
Mailing Address - Street 2:101
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2528
Mailing Address - Country:US
Mailing Address - Phone:661-829-7050
Mailing Address - Fax:661-829-7060
Practice Address - Street 1:3409 CALLOWAY DR
Practice Address - Street 2:101
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2528
Practice Address - Country:US
Practice Address - Phone:661-829-7050
Practice Address - Fax:661-829-7060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-06
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG63146261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty