| Xpress Urgent Care Tustin | |
|
17612 E. 17th St Tustin CA 92780-1937 | |
| (714) 243-5450 | |
| (714) 838-8944 |
| Full Name | Xpress Urgent Care Tustin |
|---|---|
| Speciality | Clinic/Center |
| Location | 17612 E. 17th St, Tustin, California |
| Authorized Official Name and Position | Zaid Noman (PRESIDENT) |
| Authorized Official Contact | 7142435450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xpress Urgent Care Tustin 17612 E. 17th St Tustin CA 92780-1937 Ph: (714) 243-5450 | Xpress Urgent Care Tustin 17612 E. 17th St Tustin CA 92780-1937 Ph: (714) 243-5450 |
| NPI Number | 1225407596 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 07/01/2021 |
| Certification Date | 07/01/2021 |
| Medicare PECOS PAC ID | 6901192442 |
|---|---|
| Medicare Enrollment ID | O20160908002048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225407596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Zaid Noman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306028907 PECOS PAC ID: 6103980909 Enrollment ID: I20090122000540 |
| Provider Name | Scott R Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285696278 PECOS PAC ID: 6103899679 Enrollment ID: I20150618002857 |
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