Provider Demographics
NPI:1275624652
Name:RAPIDCARE URGENT CARE CTR SO CALIF URGENT CARE MEDICAL GROUP, INC
Entity Type:Organization
Organization Name:RAPIDCARE URGENT CARE CTR SO CALIF URGENT CARE MEDICAL GROUP, INC
Other - Org Name:RAPIDCARE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAVITIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-676-8980
Mailing Address - Street 1:10841 WHITE OAK AVE # 107
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3811
Mailing Address - Country:US
Mailing Address - Phone:909-581-7266
Mailing Address - Fax:909-581-7267
Practice Address - Street 1:10841 WHITE OAK AVE # 107
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3811
Practice Address - Country:US
Practice Address - Phone:909-581-7266
Practice Address - Fax:909-581-7267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care