Ace Medical Clinic LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

D0067586 Issued in MD

Legal business name

ACE MEDICAL CLINIC LLC

Practice address

11520 Rockville Pike Ste J
Rockville, MD 20852-2761

Phone

(301) 770-2191

Fax

(301) 770-2193

NPI assigned

Jun 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shahin Oveisi, MD

Title

Managing Member

Phone

(301) 770-2191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359244800000",
    "number": "1669733515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 ROCKVILLE PIKE STE J",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522761",
            "telephone_number": "301-770-2191",
            "fax_number": "301-770-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 ROCKVILLE PIKE STE J",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522761",
            "telephone_number": "301-770-2191",
            "fax_number": "301-770-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2013-01-27",
        "status": "A",
        "authorized_official_last_name": "OVEISI",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "301-770-2191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": "D0067586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Urgent Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2013; 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.