| NPI | 1447123526 |
|---|---|
| Doing Business As | S&T URGENT CARE OF SIMI VALLEY |
| Entity Type | Organization |
| Authorized Contact | MIKEY THANTERAPHONG Co Owner 818-835-7355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-10-14 |