Organization
10TH STREET AFTER HOURS URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LICHUAN FANG M.D. (PRESIDENT)
(310) 899-9793
Entity
Organization
Contact information
Practice address
1450 10TH ST STE 200, SANTA MONICA, CA 90401-2831
(310) 899-9793
(310) 576-7708
Mailing address
1450 10TH ST STE 200, SANTA MONICA, CA 90401-2831
(310) 899-9793
(310) 576-7708
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
CA
Other
Enumeration date
01/24/2012
Last updated
02/01/2012
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