Provider Demographics
NPI:1780299032
Name:MOGO URGENT CARE
Entity type:Organization
Organization Name:MOGO URGENT CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT, CFO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-625-4965
Mailing Address - Street 1:PO BOX HH
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93942-1085
Mailing Address - Country:US
Mailing Address - Phone:831-625-4500
Mailing Address - Fax:831-625-4948
Practice Address - Street 1:26135 CARMEL RANCHO BLVD
Practice Address - Street 2:STE B1
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-8768
Practice Address - Country:US
Practice Address - Phone:831-625-4518
Practice Address - Fax:831-625-4948
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOGO URGENT CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-14
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care