Organization
HOLLYWOOD WALK IN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEONZA THYMES M.D. (SUPERVISING PHYSICIAN)
(323) 848-4522
Entity
Organization
Contact information
Practice address
6430 SELMA AVE, LOS ANGELES, CA 90028-7311
(323) 848-4522
Mailing address
6430 SELMA AVE, LOS ANGELES, CA 90028-7311
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
22876
CA
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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