SOUTHBAY URGENT CARE INC


Address: 555 Saturn Blvd, Suite B Box 292, San Diego, CA 92154-4766
Phone: 6195919999

SOUTHBAY URGENT CARE INC (NPI# 1558746750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558746750
Entity Type Organization
Organization Name SOUTHBAY URGENT CARE INC
Practice Address 555 Saturn Blvd
Suite B Box 292
San Diego
CA 92154-4766
Mailing Address 1628 Palm Ave
San Diego
CA 92154-1027
Practice Telephone 6195919999
Mailing Telephone 6195919999
Enumeration Date 2015-07-29
Last Update Date 2016-01-21
Authorized Official Name KIMBERLY SHEKER DICKSON (OWNER)
Authorized Official Telephone 6195919999
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Office Location

Street Address 555 SATURN BLVD
SUITE B BOX 292
City SAN DIEGO
State CA
Zip Code 92154-4766

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

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Competitor

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City SAN DIEGO
Zip Code 92154

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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