South County Urgent Care Medical Corporation in San Clemente - Emergency Medicine
South County Urgent Care Medical Corporation - NPI 1083822639
South County Urgent Care Medical Corporation is a Emergency Medicine in San Clemente, California. South County Urgent Care Medical Corporation practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for South County Urgent Care Medical Corporation is 1083822639. The last update date is 2018-03-26.
South County Urgent Care Medical Corporation's current location address is 1300 Avenida Vista Hermosa, San Clemente, California. You can contact this provider via phone number 9492188050 and fax number 9492188051. The mailing address for South County Urgent Care Medical Corporation is 1300 Avenida Vista Hermosa, San Clemente, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South County Urgent Care Medical Corporation |
|---|---|
| Address | 1300 Avenida Vista Hermosa, San Clemente, California |
| Phone Number | 9492188050 |
| Fax Number | 9492188051 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Gentile John |
| Credentials | M.D. |
| Telephone Number | 9492188050 |
NPI Number Detail
| NPI Number | 1083822639 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2018-03-26 |
Provider Mailing Address Detail
| Address | 1300 Avenida Vista Hermosa |
|---|---|
| City | San Clemente |
| State | California (CA) |
| Post Code | 926736315 |
| Phone Number | 9492188050 |
| Fax Number | 9492188051 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | FNP30274 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ05603Z | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to South County Urgent Care Medical Corporation by the Centers for Medicare & Medicaid Services?
The South County Urgent Care Medical Corporation has been issued the NPI (National Provider Identifier) 1083822639, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the South County Urgent Care Medical Corporation's physical address?
The South County Urgent Care Medical Corporation is physically located at 1300 Avenida Vista Hermosa, in the city of San Clemente, CA, with the postal code 926736315.
What is the South County Urgent Care Medical Corporation's specialty and taxonomy code?
The South County Urgent Care Medical Corporation's specialty is Emergency Medicine, and the corresponding taxonomy code is 207P00000X.
On what date did the South County Urgent Care Medical Corporation receive the assignment of its 1083822639 from the Centers for Medicare & Medicaid Services?
The South County Urgent Care Medical Corporation was issued its 1083822639 by the Centers for Medicare & Medicaid Services on 2007-05-18.
As of what date was the information pertaining to South County Urgent Care Medical Corporation, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to South County Urgent Care Medical Corporation, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-03-26.