Provider Demographics
NPI:1275909434
Name:TWO ZEDS MEDICAL CORPORATION
Entity Type:Organization
Organization Name:TWO ZEDS MEDICAL CORPORATION
Other - Org Name:MD TODAY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JURKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-720-0554
Mailing Address - Street 1:3830 VALLEY CENTRE DR
Mailing Address - Street 2:SUITE 702
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-3320
Mailing Address - Country:US
Mailing Address - Phone:858-720-0554
Mailing Address - Fax:858-720-0553
Practice Address - Street 1:3830 VALLEY CENTRE DR
Practice Address - Street 2:SUITE 702
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-3320
Practice Address - Country:US
Practice Address - Phone:858-720-0554
Practice Address - Fax:858-720-0553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB248031OtherGROUP PTAN