| NPI | 1073909859 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2015-04-08 |
| Last Updated | 2015-09-22 |
| Authorized Official | Jack Vu physician Phone: 9496001907 |
| Mailing Address | 27001 Moulton Pkwy, Suite A-102 Laguna Hills, CA 92656-3626 United States Phone: (949) 600-1907 | Fax: (949) 600-1912 📍 View Map |
| Primary Practice Address | 27001 Moulton Pkwy, Suite A-102 Laguna Hills, CA 92656-3626 United States Phone: (949) 600-1907 | Fax: (949) 600-1912 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | — | — |
| Yes | 261QU0200X – Clinic/Center, Urgent Care | CA | FNP544683 |
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About NPI 1073909859
Nellie Gail Urgent Care Medical Corp is an organization registered in the CMS NPPES NPI Registry with NPI number 1073909859. The primary specialty listed is Clinic/Center, Urgent Care. The organization is located in Laguna Hills, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-04-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073909859?
NPI 1073909859 belongs to Nellie Gail Urgent Care Medical Corp, a Clinic/Center, Urgent Care in Laguna Hills, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073909859 active?
The current status of NPI 1073909859 in the NPPES registry is Active. The record was last updated on 2015-09-22.
What specialty is NPI 1073909859?
NPI 1073909859 is classified under the taxonomy Clinic/Center, Urgent Care. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073909859?
You can verify NPI 1073909859 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073909859?
The primary practice address on file for NPI 1073909859 is 27001 Moulton Pkwy, Laguna Hills, CA 92656-3626. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073909859 issued?
NPI 1073909859 was first issued (enumerated) on 2015-04-08. The NPPES record was last updated on 2015-09-22.
Practice Location Map
Nellie Gail Urgent Care Medical Corp is located at 27001 Moulton Pkwy, Laguna Hills, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Nellie Gail Urgent Care Medical Corp. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1073909859. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Urgent Care | FNP544683 | CA |