Provider Demographics
NPI:1396510087
Name:ACCESS MEDICAL AND NURSING URGENT CARE,INC.
Entity type:Organization
Organization Name:ACCESS MEDICAL AND NURSING URGENT CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SHAHRZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FORAT
Authorized Official - Suffix:
Authorized Official - Credentials:DC, FNP-C
Authorized Official - Phone:818-645-8174
Mailing Address - Street 1:21931 WOODLAND CREST DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-5254
Mailing Address - Country:US
Mailing Address - Phone:818-645-8174
Mailing Address - Fax:888-932-2444
Practice Address - Street 1:8215 VAN NUYS BLVD STE 212
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4834
Practice Address - Country:US
Practice Address - Phone:888-988-7647
Practice Address - Fax:888-932-2444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty