Florence Western Medical Clinic, INC
Family Medicine in Pacoima, CA. Organization (NPI-2).
NPI number1376888024
StatusActive
Last updated in NPPESApr 19, 2013
Details
- NPI
- 1376888024
- Entity type
- Organization (NPI-2)
- Legal business name
- Florence Western Medical Clinic, INC
- Organization subpart
- No
- Enumeration date
- Dec 6, 2012
- Last updated
- Apr 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A52385 | CA | Yes |
Other names
- Medicina Familiar Medical Group (Doing Business As)
Practice location
13500 Van Nuys BlvdPacoima, CA 91331-3028
Phone 818-896-2999 · Fax 818-896-8449
Mailing address
7301 S Western AveLos Angeles, CA 90047-2254
Phone 818-896-2999 · Fax 818-896-8449
Authorized official
Kevin Charles Thomas
MD/Owner
3237782131
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