| Urgent Health Clinic Medical Group Inc | |
|
1141 E Colorado St Glendale CA 91205-1308 | |
| (818) 956-1141 | |
| (818) 547-4392 |
| Full Name | Urgent Health Clinic Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1141 E Colorado St, Glendale, California |
| Authorized Official Name and Position | Larry Vigilia (PRESIDENT) |
| Authorized Official Contact | 8189561141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Health Clinic Medical Group Inc 1141 E Colorado St Glendale CA 91205-1308 Ph: (818) 956-1141 | Urgent Health Clinic Medical Group Inc 1141 E Colorado St Glendale CA 91205-1308 Ph: (818) 956-1141 |
| NPI Number | 1841370996 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 05/26/2015 |
| Medicare PECOS PAC ID | 8628147121 |
|---|---|
| Medicare Enrollment ID | O20080524000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841370996 | NPI | - | NPPES |
| GR0013050 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Larry P Vigilia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629275474 PECOS PAC ID: 5991874398 Enrollment ID: I20080524000066 |
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