Organization
HOUSE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LUXFORD (MEDICAL DIRECTOR)
(213) 483-9930
Entity
Organization
Contact information
Practice address
2100 W 3RD ST STE 111, LOS ANGELES, CA 90057-1922
(213) 353-7052
Mailing address
2100 W 3RD ST STE 111, LOS ANGELES, CA 90057-1922
(213) 353-7052
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2448
CA
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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