Provider Demographics
NPI:1427585918
Name:WE HEART URGENT CARE INC
Entity Type:Organization
Organization Name:WE HEART URGENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT / PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:AL
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:909-510-9301
Mailing Address - Street 1:3262 N GAREY AVE UNIT 327
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-1308
Mailing Address - Country:US
Mailing Address - Phone:760-948-4219
Mailing Address - Fax:760-948-0723
Practice Address - Street 1:11949 HESPERIA RD STE B
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-2181
Practice Address - Country:US
Practice Address - Phone:760-948-4219
Practice Address - Fax:760-948-0723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-16
Last Update Date:2017-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA120670207Q00000X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty