Provider Demographics
NPI:1952813255
Name:BERKELEY URGENT CARE
Entity Type:Organization
Organization Name:BERKELEY URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:NAWAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-596-3789
Mailing Address - Street 1:3000 COLBY ST STE 110
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2090
Mailing Address - Country:US
Mailing Address - Phone:209-596-3789
Mailing Address - Fax:
Practice Address - Street 1:3000 COLBY ST STE 110
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2090
Practice Address - Country:US
Practice Address - Phone:209-596-3789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-27
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center