# HOLLYWOOD WALK IN CLINIC

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

## Provider details

- **NPI number:** 1447592779
- **Authorized official:** DR. DEONZA THYMES M.D. (SUPERVISING PHYSICIAN)
- **Authorized official phone:** (323) 848-4522

## Contact information

- **Practice address:** 6430 SELMA AVE, LOS ANGELES, CA 90028-7311
- **Practice address phone:** (323) 848-4522
- **Mailing address:** 6430 SELMA AVE, LOS ANGELES, CA 90028-7311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 22876 | CA | Yes |

## Other

- **Enumeration date:** 03/25/2013
- **Last updated:** 03/25/2013