Provider Demographics
NPI:1326409756
Name:WEST COAST URGENT CARE CLINICS, INC
Entity Type:Organization
Organization Name:WEST COAST URGENT CARE CLINICS, INC
Other - Org Name:SYLMAR URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA MAGDALENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-388-8529
Mailing Address - Street 1:13711 FOOTHILL BLVD
Mailing Address - Street 2:B
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-3136
Mailing Address - Country:US
Mailing Address - Phone:818-408-8008
Mailing Address - Fax:818-408-8011
Practice Address - Street 1:13711 FOOTHILL BLVD
Practice Address - Street 2:B
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-3136
Practice Address - Country:US
Practice Address - Phone:818-408-8008
Practice Address - Fax:818-408-8011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-12
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care