South County Urgent Care Medical Corporation
South County Urgent Care Medical Corporation is an Emergency Medicine Physician in San Clemente, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1300 Avenida Vista Hermosa #100San Clemente, CA 92673-6315
Phone: (949) 218-8050
Fax: (949) 218-8051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence FNP30274 (CA) |
|---|
Record details
| NPI number | 1083822639 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Gentile — Ceo · (949) 218-8050 |
| NPI enumerated | May 18, 2007 |
| Last updated in NPPES | March 26, 2018 |
| Mailing address | 1300 Avenida Vista Hermosa, 100, San Clemente, CA 92673-6315 |
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