Provider Demographics
NPI:1609152818
Name:EMPIRE URGENT CARE
Entity Type:Organization
Organization Name:EMPIRE URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:JAYASINGHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-280-7700
Mailing Address - Street 1:2115 COMPTON AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-7272
Mailing Address - Country:US
Mailing Address - Phone:626-798-8600
Mailing Address - Fax:626-798-8842
Practice Address - Street 1:2115 COMPTON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-7272
Practice Address - Country:US
Practice Address - Phone:951-493-0037
Practice Address - Fax:951-280-8240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-01
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care