EXECUTIVE URGENT CARE OF INDIAN WELLS – NPI #1801181961
Clinic/Center

EXECUTIVE URGENT CARE OF INDIAN WELLS is an AHC clinic located in INDIAN WELLS, CA. NPPES has assigned the NPI number 1801181961 to EXECUTIVE URGENT CARE OF INDIAN WELLS on June 16, 2011. 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

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 OF INDIAN WELLS below.

NPI Profile for
EXECUTIVE URGENT CARE OF INDIAN WELLS

NPI Number
1801181961
Enumeration Date

(about 15 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 OF INDIAN WELLS
Primary location
74785 HIGHWAY 111
SUITE 100
INDIAN WELLS, CA 92210
Phone: (760) 346-3932 Fax: (760) 346-8584
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID TANG
OWNER
Phone: (760) 346-3932
Updated
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)
CA G44271

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.