Provider Demographics
NPI:1619362324
Name:WALK-IN MEDICAL CLINIC LLC
Entity Type:Organization
Organization Name:WALK-IN MEDICAL CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:NOCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-290-8798
Mailing Address - Street 1:9350 DOUBLE R BLVD
Mailing Address - Street 2:#3513
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-3859
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:495 APPLE ST
Practice Address - Street 2:STE 104
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3553
Practice Address - Country:US
Practice Address - Phone:775-870-1326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12896261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care