Provider Demographics
NPI:1568663573
Name:URGENT CARE AMERICA
Entity Type:Organization
Organization Name:URGENT CARE AMERICA
Other - Org Name:TOTAL HEALTH CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALIJA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:562-906-7766
Mailing Address - Street 1:13470 TELEGRAPH ROAD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-3436
Mailing Address - Country:US
Mailing Address - Phone:562-906-7766
Mailing Address - Fax:562-906-7763
Practice Address - Street 1:13470 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-3436
Practice Address - Country:US
Practice Address - Phone:562-906-7766
Practice Address - Fax:562-906-7763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1568663573Medicaid
CA1568663573Medicare NSC
CAFG8323Medicare UPIN
CAW14049Medicare ID - Type Unspecified