San Juan Family Health Urgent Care Medical Center

LBN: San Juan Family Health Urgent Care Medical Center
San Juan Family Health Urgent Care Medical Center is an health care organization with primary practice located at 32112 Camino Capistrano , San Juan Capistrano CA 92675-3717. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. San Juan Family Health Urgent Care Medical Center can be contacted via phone (949) 248-9797, or through Poormehr, Shahrokh via phone (949) 248-9797.

Contact Information

Primary practice address
32112 Camino Capistrano San Juan Capistrano CA 92675-3717
Fax: (949) 388-3336
Website:
Authorized official contact:
Name: Poormehr, Shahrokh Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A6385 California
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 20A6385 California
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 20A6385 California

Profile Details

NPI number 1497948194
LBN Legal business name San Juan Family Health Urgent Care Medical Center
DBA Doing business as
Authorized official Poormehr, Shahrokh Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2007
Last updated Mar 11th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497948194 NPPES
California MEDICAID 00AX63850
California Other DC5333
California Other 20A6385
California Other ZZZ57256Z

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