Provider Demographics
NPI:1134889652
Name:TUSTIN URGENT CARE, APC
Entity type:Organization
Organization Name:TUSTIN URGENT CARE, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZAID
Authorized Official - Middle Name:
Authorized Official - Last Name:NOMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-548-8400
Mailing Address - Street 1:11741 VALLEY VIEW ST UNIT A-C
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-5500
Mailing Address - Country:US
Mailing Address - Phone:714-947-2600
Mailing Address - Fax:714-947-2661
Practice Address - Street 1:11741 VALLEY VIEW ST UNIT A-C
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-5500
Practice Address - Country:US
Practice Address - Phone:714-947-2660
Practice Address - Fax:714-947-2661
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TUSTIN URGENT CARE, APC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care