# CALIFORNIA CORPORATION USMD DIRECT, INC

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

## Provider details

- **NPI number:** 1659870459
- **Authorized official:** FAWAD ZAFAR-KHAN MC (PRESIDENT)
- **Authorized official phone:** (818) 489-4030

## Contact information

- **Practice address:** 2021 SANTA MONICA BLVD STE 710E, SANTA MONICA, CA 90404-2208
- **Practice address phone:** (310) 449-1415
- **Mailing address:** 2021 SANTA MONICA BLVD STE 710E, SANTA MONICA, CA 90404-2208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | C3440352 | CA | Yes |

## Other

- **Enumeration date:** 02/07/2018
- **Last updated:** 02/07/2018