Provider Demographics
NPI:1619244993
Name:OCEAN FRONT URGENT CARE P.C
Entity Type:Organization
Organization Name:OCEAN FRONT URGENT CARE P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOSTAFA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAHIMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-686-3121
Mailing Address - Street 1:31236 PALOS VERDES DR W
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-5361
Mailing Address - Country:US
Mailing Address - Phone:760-686-3121
Mailing Address - Fax:888-411-5121
Practice Address - Street 1:31236 PALOS VERDES DR W
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-5361
Practice Address - Country:US
Practice Address - Phone:760-686-3121
Practice Address - Fax:888-411-5121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89780207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty