Provider Demographics
NPI:1992320451
Name:URGENT CARE PLUS TELEHEALTH INC
Entity type:Organization
Organization Name:URGENT CARE PLUS TELEHEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHWAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-377-1005
Mailing Address - Street 1:PO BOX 3888
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-8888
Mailing Address - Country:US
Mailing Address - Phone:925-718-6622
Mailing Address - Fax:
Practice Address - Street 1:2360 1ST ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2239
Practice Address - Country:US
Practice Address - Phone:707-377-1007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IAN AHWAH MD PROFESSIONAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-10
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care