Provider Demographics
NPI:1427692086
Name:TUSTIN URGENT CARE, APC
Entity type:Organization
Organization Name:TUSTIN URGENT CARE, APC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAID
Authorized Official - Middle Name:
Authorized Official - Last Name:NOMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-243-5450
Mailing Address - Street 1:5888 EDINGER AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-1705
Mailing Address - Country:US
Mailing Address - Phone:714-867-7900
Mailing Address - Fax:
Practice Address - Street 1:5888 EDINGER AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-1705
Practice Address - Country:US
Practice Address - Phone:714-867-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TUSTIN URGENT CARE, APC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-06
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty