Prestige Medical Clinic and Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PRESTIGE MEDICAL CLINIC AND URGENT CARE

Practice address

1984 Indian Hill Blvd
Pomona, CA 91767-3620

Phone

(909) 447-2323

Fax

(909) 447-1199

NPI assigned

Jan 12, 2024

Last updated

Jan 12, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Emy Oduro-Burton, DNP-BCNPI 1205210531

Title

Ceo

Phone

(909) 222-5223

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emy Oduro-Burton, DNP-BC

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1205210531
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1225809734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 INDIAN HILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673620",
            "telephone_number": "909-447-2323",
            "fax_number": "909-447-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 INDIAN HILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673620",
            "telephone_number": "909-447-2323",
            "fax_number": "909-447-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL CLINIC AND URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "ODURO-BURTON",
        "authorized_official_first_name": "EMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-222-5223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prestige Medical Management (Aesthetic Plastic Surgery Institute Of Southern California, Med. Corp)
• Prestige Medical Management Inc. (Aesthetic Plastic Surgery Institute of Southern California)

• Urgent Care Clinic/Center in Pomona, CA
• Providers in Pomona, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.