NPI 1033400320 · live from the CMS NPI Registry
Advanced Urgent Care Of City Line
Family Medicine in Phila, PA. National Provider Identifier 1033400320, active.
NPI record
| NPI | 1033400320 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 5058 City Line Ave., Phila, PA 19131 |
| Practice phone | 215-921-6510 |
| Enumerated | April 21, 2011 |
| Last updated | March 8, 2013 |
| Authorized official | Mehdi Nikparvar, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Urgent Care | 261QU0200X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.