| Simi Valley Urgent Care Inc | |
|
1350 E Los Angeles Ave Ste 100 Simi Valley CA 93065-2898 | |
| (805) 272-6590 | |
| (805) 272-6591 |
| Full Name | Simi Valley Urgent Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1350 E Los Angeles Ave Ste 100, Simi Valley, California |
| Authorized Official Name and Position | Farah Sultana Hasan (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8052726590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simi Valley Urgent Care Inc 1350 E Los Angeles Ave Ste 100 Simi Valley CA 93065-2898 Ph: (818) 854-0759 | Simi Valley Urgent Care Inc 1350 E Los Angeles Ave Ste 100 Simi Valley CA 93065-2898 Ph: (805) 272-6590 |
| NPI Number | 1477376028 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 02/14/2025 |
| Medicare PECOS PAC ID | 9032648613 |
|---|---|
| Medicare Enrollment ID | O20250128001112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477376028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Farah S Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568581726 PECOS PAC ID: 6406043983 Enrollment ID: I20101209000694 |
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