Organization
CULVER FAMILY& URGENT CARE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMED MANSOUR HAMZA I (PRESIDENT)
(310) 559-7311
Entity
Organization
Contact information
Practice address
10732 JEFFERSON BLVD, CULVER CITY, CA 90230-4933
(310) 559-7311
(310) 559-7325
Mailing address
10732 JEFFERSON BLVD, CULVER CITY, CA 90230-4933
(310) 559-7311
(310) 559-7325
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A92596
CA
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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