South County Urgent Care Medical Corporation

NPI #1083822639 in San Clemente, California

Provider Information

NPI Number: 1083822639
Entity Type: Organization
Organization Name: South County Urgent Care Medical Corporation
Primary Specialty: Emergency Medicine
Enumeration Date: May 18, 2007
Last Updated: Mar 26, 2018

Practice Location

Address: 1300 AVENIDA VISTA HERMOSA
Address 2: #100
City: San Clemente
State: California
ZIP Code: 92673-6315
Phone: (949) 218-8050

Authorized Official

Name: DR. JOHN GENTILE, M.D.
Title: CEO
Phone: (949) 218-8050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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