Provider Demographics
NPI:1326660598
Name:MOGO URGENT CARE
Entity Type:Organization
Organization Name:MOGO URGENT CARE
Other - Org Name:MARINA MOGO URGENT CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:SENIOR CONTRACTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-625-4965
Mailing Address - Street 1:P.O. BOX HH
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93942-1085
Mailing Address - Country:US
Mailing Address - Phone:831-625-4500
Mailing Address - Fax:
Practice Address - Street 1:2930 2ND AVE STE 120
Practice Address - Street 2:
Practice Address - City:MARINA
Practice Address - State:CA
Practice Address - Zip Code:93933-6244
Practice Address - Country:US
Practice Address - Phone:831-622-6935
Practice Address - Fax:831-622-6936
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-11
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health