Provider Demographics
NPI:1477187987
Name:URGENTMED
Entity Type:Organization
Organization Name:URGENTMED
Other - Org Name:URGENTMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JAMALA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-844-8848
Mailing Address - Street 1:1300 N LA BREA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7504
Mailing Address - Country:US
Mailing Address - Phone:323-464-1336
Mailing Address - Fax:
Practice Address - Street 1:239 S LA CIENEGA BLVD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3328
Practice Address - Country:US
Practice Address - Phone:310-652-2310
Practice Address - Fax:310-652-2311
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANAHEIM URGENT CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-24
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care