Provider Demographics
NPI:1649548371
Name:WALK IN URGENT CARE
Entity type:Organization
Organization Name:WALK IN URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUHEIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KILANI
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:714-625-8320
Mailing Address - Street 1:17695 NEWLAND ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-7022
Mailing Address - Country:US
Mailing Address - Phone:714-625-8320
Mailing Address - Fax:714-583-7660
Practice Address - Street 1:9918 KATELLA AVE
Practice Address - Street 2:C
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6465
Practice Address - Country:US
Practice Address - Phone:714-625-8320
Practice Address - Fax:714-583-7660
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORANGE COUNTY HEALTHCARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care