Organization
LINCOLN HEIGHTS URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMAS A SEVILLA M.D. (OWNER)
(323) 342-9764
Entity
Organization
Contact information
Practice address
2813 N BROADWAY, LOS ANGELES, CA 90031-2611
(323) 342-9764
(323) 342-9656
Mailing address
2813 N BROADWAY, LOS ANGELES, CA 90031-2611
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A63670
—
CA
Enumeration date
09/11/2015
Last updated
09/12/2015
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