# FLORENCE WESTERN MEDICAL CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicina Familiar Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437495462
- **Authorized official:** KEVIN CHARLES THOMAS MD (OWNER)
- **Authorized official phone:** (323) 778-2131

## Contact information

- **Practice address:** 20440 SHERMAN WAY, CANOGA PARK, CA 91306-3110
- **Practice address phone:** (818) 346-2395
- **Practice address fax:** (818) 346-4591
- **Mailing address:** 7301 S WESTERN AVE, LOS ANGELES, CA 90047-2254
- **Mailing address phone:** (818) 346-2395
- **Mailing address fax:** (818) 346-4591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A52385 | CA | Yes |

## Other

- **Enumeration date:** 12/19/2012
- **Last updated:** 04/19/2013