| Manteca Urgent Care, Inc | |
|
241 W Yosemite Ave Manteca CA 95336-5603 | |
| (209) 239-0320 | |
| (209) 239-0321 |
| Full Name | Manteca Urgent Care, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 241 W Yosemite Ave, Manteca, California |
| Authorized Official Name and Position | Min Wu (CEO) |
| Authorized Official Contact | 2095851066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manteca Urgent Care, Inc Po Box 2906 Turlock CA 95381-2906 Ph: (209) 585-1066 | Manteca Urgent Care, Inc 241 W Yosemite Ave Manteca CA 95336-5603 Ph: (209) 239-0320 |
| NPI Number | 1780107888 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 10/26/2017 |
| Medicare PECOS PAC ID | 8628344009 |
|---|---|
| Medicare Enrollment ID | O20171031000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780107888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A89677 (California) | Primary |
| Provider Name | Min H Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063590560 PECOS PAC ID: 9335174077 Enrollment ID: I20050930000236 |
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