EXECUTIVE URGENT CARE CENTERS INC – NPI #1124796362
Clinic/Center

EXECUTIVE URGENT CARE CENTERS INC is an AHC clinic located in INDIAN WELLS, CA. NPPES has assigned the NPI number 1124796362 to EXECUTIVE URGENT CARE CENTERS INC on September 02, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was last updated on Apr 22, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXECUTIVE URGENT CARE CENTERS INC below.

NPI Profile for
EXECUTIVE URGENT CARE CENTERS INC

NPI Number
1124796362
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXECUTIVE URGENT CARE CENTERS INC
Primary location
74785 HWY 111, SUITE 100
INDIAN WELLS, CA 92210
Phone: (760) 346-3939 Fax:
Mailing address
74785 HWY 111, STE 100
INDIAN WELLS, CA 92210
Phone: (760) 346-3932 Fax:
Organization Subpart
No
Authorized Official
BOHDAN OLESNICKY
CEO
Phone: (760) 464-2131
Updated
Certification Date
Apr 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.