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Organization
FLORENCE WESTERN MEDICAL CLINIC, INC
Active
Organization
FLORENCE WESTERN MEDICAL CLINIC, INC
Active
Other names
Medicina Familiar Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CHARLES THOMAS MD (MD/OWNER)
(323) 778-2131
Entity
Organization
Contact information
Practice address
13500 VAN NUYS BLVD, PACOIMA, CA 91331-3028
(818) 896-2999
(818) 896-8449
Mailing address
7301 S WESTERN AVE, LOS ANGELES, CA 90047-2254
(818) 896-2999
(818) 896-8449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A52385
CA
Other
Enumeration date
12/06/2012
Last updated
04/19/2013
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