Provider Demographics
NPI:1659815256
Name:A PLUS WALK-IN URGENT CARE MEDICAL CLINIC, APC
Entity Type:Organization
Organization Name:A PLUS WALK-IN URGENT CARE MEDICAL CLINIC, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:951-696-7587
Mailing Address - Street 1:41880 KALMIA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-8831
Mailing Address - Country:US
Mailing Address - Phone:951-696-7587
Mailing Address - Fax:951-461-6973
Practice Address - Street 1:31571 CANYON ESTATES DR
Practice Address - Street 2:SUITE 100
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92532-0468
Practice Address - Country:US
Practice Address - Phone:951-696-7587
Practice Address - Fax:951-245-8880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A67751Medicare PIN