Provider Demographics
NPI:1760889190
Name:FIRST AID URGENT CARE INC
Entity Type:Organization
Organization Name:FIRST AID URGENT CARE INC
Other - Org Name:FIRST AID URGENT CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:TASHCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-791-9004
Mailing Address - Street 1:PO BOX 41032
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91114-8032
Mailing Address - Country:US
Mailing Address - Phone:626-791-9004
Mailing Address - Fax:626-791-9005
Practice Address - Street 1:7200 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2719
Practice Address - Country:US
Practice Address - Phone:626-791-9004
Practice Address - Fax:626-791-9005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33447261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care