Provider Demographics
NPI:1457768913
Name:EAST WEST URGENT CARE
Entity Type:Organization
Organization Name:EAST WEST URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHWANI
Authorized Official - Middle Name:
Authorized Official - Last Name:BATRA
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS, MSN, NP-BC
Authorized Official - Phone:661-310-3388
Mailing Address - Street 1:38345 30TH ST E
Mailing Address - Street 2:STE B-1A
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-6508
Mailing Address - Country:US
Mailing Address - Phone:661-310-3388
Mailing Address - Fax:661-526-0101
Practice Address - Street 1:38345 30TH ST E STE B1A
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-6508
Practice Address - Country:US
Practice Address - Phone:661-310-3388
Practice Address - Fax:661-526-0101
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EAST WEST URGENT CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-16
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20139261QP2300X, 261QU0200X, 261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB218869Medicare UPIN