Hollywood Walk In Clinic

NPI 1447592779 - Clinic/Center - 261QU0200X

NPI Details
NPI 1447592779
Enumeration Date 03/25/2013
Last Updated 03/25/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DEONZA DEONZA
Position SUPERVISING PHYSICIAN
Phone (323) 848-4522
Fax
Practice Location
6430 SELMA AVE
LOS ANGELES CA, 90028-7311, US
Phone (323) 848-4522
Fax
Business Location
6430 SELMA AVE
LOS ANGELES CA, 90028-7311, US
Phone
Fax
Toxanomy
Taxonomy Code 261QU0200X
License State California
License Number 22876
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According to our database, Hollywood Walk In Clinic NPI is 1447592779, taxonomy code is 261QU0200X and license number is 22876, license state is located at California. Hollywood Walk In Clinic physically located at 6430 Selma Ave, Los Angeles CA, 90028-7311. NPI Number 1033115704 has the healthcare provider type.

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1447592779 NPI number is provided on an as is basis without warranty of any kind. 1447592779 is maintained by the National Plan & Provider Enumeration System. The contents of Hollywood Walk In Clinic are for informational purposes only.