| Family Urgent Care & Industrial Medical Clinic, Inc. | |
|
412 W Avenue J Suite D Lancaster CA 93534-3685 | |
| (661) 729-4336 | |
| (661) 723-7635 |
| Full Name | Family Urgent Care & Industrial Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 412 W Avenue J, Lancaster, California |
| Authorized Official Name and Position | Bruce E Fishman (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Contact | 8188082828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Urgent Care & Industrial Medical Clinic, Inc. 15450 Ventura Blvd Suite 102 Sherman Oaks CA 91403-3000 Ph: (818) 808-2828 | Family Urgent Care & Industrial Medical Clinic, Inc. 412 W Avenue J Suite D Lancaster CA 93534-3685 Ph: (661) 729-4336 |
| NPI Number | 1699926485 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 10/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699926485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | FNP24261 (California) | Primary |
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