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Organization

FLORENCE WESTERN MEDICAL CLINIC, INC

Active
Other names
Medicina Familiar Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN CHARLES THOMAS MD (OWNER)
(323) 778-2131
Entity
Organization

Contact information

Practice address
20440 SHERMAN WAY, CANOGA PARK, CA 91306-3110
(818) 346-2395
(818) 346-4591
Mailing address
7301 S WESTERN AVE, LOS ANGELES, CA 90047-2254
(818) 346-2395
(818) 346-4591

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A52385
CA

Other

Enumeration date
12/19/2012
Last updated
04/19/2013
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