Provider Demographics
NPI:1467894212
Name:CEDARS SINAI URGENT CARE INC
Entity Type:Organization
Organization Name:CEDARS SINAI URGENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:NICOLAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:954-633-4303
Mailing Address - Street 1:3801 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 505
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6332
Mailing Address - Country:US
Mailing Address - Phone:954-633-4303
Mailing Address - Fax:954-642-1414
Practice Address - Street 1:3801 N UNIVERSITY DR
Practice Address - Street 2:SUITE 505
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6332
Practice Address - Country:US
Practice Address - Phone:954-633-4303
Practice Address - Fax:954-642-1414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-22
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC9838261QH0100X, 261QP2000X, 261QP2300X, 261QR0200X, 111NS0005X, 111NX0800X, 261QH0100X, 261QP2300X, 261QR0200X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty