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Organization
FLORENCE WESTERN MEDICAL CLINIC INC
Active
Organization
FLORENCE WESTERN MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN THOMAS MD (OWNER)
(323) 778-2131
Entity
Organization
Contact information
Practice address
15216 VANOWEN ST, SUITE 2C, VAN NUYS, CA 91405-3601
(213) 840-2356
Mailing address
15216 VANOWEN ST, SUITE 2C, VAN NUYS, CA 91405-3601
(213) 840-2356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A52385
CA
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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