Provider Demographics
NPI:1477977593
Name:ORANGE COUNTY URGENT CARE #3, INC.
Entity Type:Organization
Organization Name:ORANGE COUNTY URGENT CARE #3, INC.
Other - Org Name:MEDPOST URGENT CARE - LA HABRA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP OF OUTPATIENT SERVICES, TENET
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:BURTNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-893-2153
Mailing Address - Street 1:1040 W IMPERIAL HWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-0608
Mailing Address - Country:US
Mailing Address - Phone:714-451-1072
Mailing Address - Fax:714-451-1078
Practice Address - Street 1:1040 W IMPERIAL HWY
Practice Address - Street 2:SUITE D
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-0608
Practice Address - Country:US
Practice Address - Phone:714-451-1072
Practice Address - Fax:714-451-1078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care