Provider Demographics
NPI:1972505857
Name:EMERGENCY CARE DYNAMICS INC
Entity Type:Organization
Organization Name:EMERGENCY CARE DYNAMICS INC
Other - Org Name:URGENT CARE AND MORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:TAMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-225-6200
Mailing Address - Street 1:3434 MIDWAY DR STE 1002
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-4924
Mailing Address - Country:US
Mailing Address - Phone:619-225-6200
Mailing Address - Fax:619-225-6208
Practice Address - Street 1:3434 MIDWAY DR
Practice Address - Street 2:STE 1002
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-4923
Practice Address - Country:US
Practice Address - Phone:619-225-6200
Practice Address - Fax:619-225-6208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0059361Medicaid