Florence Western Medical Clinic INC
Family Medicine in Van Nuys, CA. Organization (NPI-2).
NPI number1891123782
StatusActive
Last updated in NPPESOct 31, 2013
Details
- NPI
- 1891123782
- Entity type
- Organization (NPI-2)
- Legal business name
- Florence Western Medical Clinic INC
- Organization subpart
- No
- Enumeration date
- Oct 31, 2013
- Last updated
- Oct 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A52385 | CA | Yes |
Practice location
15216 Vanowen StSuite 2c
Van Nuys, CA 91405-3601
Phone 213-840-2356
Mailing address
15216 Vanowen StSuite 2c
Van Nuys, CA 91405-3601
Phone 213-840-2356
Authorized official
Kevin Thomas
Owner
3237782131
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