# HAWTHORNE URGENT CARE & MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154113264
- **Authorized official:** MR. VINCENT COVELLI DO (OWNER)
- **Authorized official phone:** (914) 774-9722

## Contact information

- **Practice address:** 4508 W IMPERIAL HWY, INGLEWOOD, CA 90304-2710
- **Practice address phone:** (914) 774-9722
- **Mailing address:** 4508 W IMPERIAL HWY, INGLEWOOD, CA 90304-2710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2025
- **Last updated:** 06/12/2025