Organization
CALIFORNIA CORPORATION USMD DIRECT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAWAD ZAFAR-KHAN MC (PRESIDENT)
(818) 489-4030
Entity
Organization
Contact information
Practice address
2021 SANTA MONICA BLVD STE 710E, SANTA MONICA, CA 90404-2208
(310) 449-1415
Mailing address
2021 SANTA MONICA BLVD STE 710E, SANTA MONICA, CA 90404-2208
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
C3440352
CA
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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