Provider Demographics
NPI:1407027550
Name:DOCTORS ON DEMAND URGENT CARE
Entity Type:Organization
Organization Name:DOCTORS ON DEMAND URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-445-0751
Mailing Address - Street 1:2143 S SEPULVEDA BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5733
Mailing Address - Country:US
Mailing Address - Phone:310-445-0751
Mailing Address - Fax:866-526-0502
Practice Address - Street 1:2143 S SEPULVEDA BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5733
Practice Address - Country:US
Practice Address - Phone:310-445-0751
Practice Address - Fax:866-526-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care