Provider Demographics
NPI:1316338619
Name:PREMIER URGENT CARE CENTERS OF CALIFORNIA, INC
Entity type:Organization
Organization Name:PREMIER URGENT CARE CENTERS OF CALIFORNIA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-864-1000
Mailing Address - Street 1:31938 TEMECULA PKWY
Mailing Address - Street 2:SUITE #A337
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-6810
Mailing Address - Country:US
Mailing Address - Phone:207-217-5451
Mailing Address - Fax:
Practice Address - Street 1:1080 N INDIAN CANYON DR
Practice Address - Street 2:SUITE #206
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4869
Practice Address - Country:US
Practice Address - Phone:760-864-1000
Practice Address - Fax:760-864-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care