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Organization
10TH STREET AFTER HOURS URGENT CARE
Active
Organization
10TH STREET AFTER HOURS URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LICHUAN FANG M.D. (PRESIDENT)
(310) 899-9793
Entity
Organization
Contact information
Practice address
1450 10TH ST STE 200, SANTA MONICA, CA 90401-2831
(310) 899-9793
(310) 576-7708
Mailing address
1450 10TH ST STE 200, SANTA MONICA, CA 90401-2831
(310) 899-9793
(310) 576-7708
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
CA
Other
Enumeration date
01/24/2012
Last updated
02/01/2012
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