Provider Demographics
NPI:1053764068
Name:WESTMINSTER URGENT CARE
Entity type:Organization
Organization Name:WESTMINSTER URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-683-4990
Mailing Address - Street 1:8341 WESTMINSTER BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-8337
Mailing Address - Country:US
Mailing Address - Phone:714-622-5742
Mailing Address - Fax:
Practice Address - Street 1:8341 WESTMINSTER BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-8337
Practice Address - Country:US
Practice Address - Phone:714-622-5742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG71814261Q00000X, 261QU0200X
CAG67118261Q00000X, 261QU0200X
CAA55741261Q00000X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care