Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nellie Gail Urgent Care Medical Corp

Organization Family Medicine Physician · NPI 1073909859

Nellie Gail Urgent Care Medical Corp provides Family Medicine Physician services in Laguna Hills, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

27001 Moulton Pkwy Ste A-102
Laguna Hills, CA 92656-3626 Not confirmed with CMS for 11 years — call before visiting
Phone: (949) 600-1907
Fax: (949) 600-1912
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X · Licence FNP544683 (CA)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1073909859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Vu — Physician · (949) 600-1907
NPI enumeratedApril 8, 2015
Last updated in NPPESSeptember 22, 2015
Mailing address27001 Moulton Pkwy, Suite A-102, Laguna Hills, CA 92656-3626

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