Provider Demographics
NPI:1235684960
Name:INTEGRATIVE URGENT CARE, INC.
Entity Type:Organization
Organization Name:INTEGRATIVE URGENT CARE, INC.
Other - Org Name:INTEGRATIVE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:D
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-594-0478
Mailing Address - Street 1:1190 MEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1702
Mailing Address - Country:US
Mailing Address - Phone:626-594-0478
Mailing Address - Fax:
Practice Address - Street 1:148 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-2434
Practice Address - Country:US
Practice Address - Phone:626-594-0478
Practice Address - Fax:626-594-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care