| Vital Urgent Care, Inc | |
|
24301 Paseo De Valencia Ste R Laguna Woods CA 92637-3111 | |
| (949) 200-1655 | |
| (949) 200-1650 |
| Full Name | Vital Urgent Care, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 24301 Paseo De Valencia Ste R, Laguna Woods, California |
| Authorized Official Name and Position | Alireza Khazaeizadeh (CEO / PRESIDENT) |
| Authorized Official Contact | 9493946175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Urgent Care, Inc 24301 Paseo De Valencia Ste R Laguna Woods CA 92637-3111 Ph: (949) 200-1655 | Vital Urgent Care, Inc 24301 Paseo De Valencia Ste R Laguna Woods CA 92637-3111 Ph: (949) 200-1655 |
| NPI Number | 1417371477 |
|---|---|
| Provider Enumeration Date | 02/11/2014 |
| Last Update Date | 11/03/2025 |
| Medicare PECOS PAC ID | 8729200936 |
|---|---|
| Medicare Enrollment ID | O20141103001860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417371477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A100885 (California) | Primary |
| Provider Name | Alireza Khazaeizadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346411477 PECOS PAC ID: 3779644455 Enrollment ID: I20081213000054 |
| Provider Name | Gail Borbe Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306369483 PECOS PAC ID: 4082973995 Enrollment ID: I20180123002457 |
| Provider Name | Stephanie Lauren Spinks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578177606 PECOS PAC ID: 3971918491 Enrollment ID: I20210216001150 |
| Provider Name | Agnes E Gonzaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659947380 PECOS PAC ID: 9133573850 Enrollment ID: I20230929000825 |
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