Provider Demographics
NPI:1851869663
Name:UNIVERSAL URGENT CARE AND OCCUPATIONAL MEDICINE, INC.
Entity type:Organization
Organization Name:UNIVERSAL URGENT CARE AND OCCUPATIONAL MEDICINE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-587-2468
Mailing Address - Street 1:8325 BRIMHALL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2245
Mailing Address - Country:US
Mailing Address - Phone:661-587-2468
Mailing Address - Fax:661-587-6403
Practice Address - Street 1:6055 NILES ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-4696
Practice Address - Country:US
Practice Address - Phone:661-363-0436
Practice Address - Fax:661-363-0451
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSAL URGENT CARE AND OCCUPATIONAL MEDICINE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-09
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========Medicaid