institution
Jimmy L Ezell Medical Corp
Primary Care Clinic/Center in Los Angeles, California
NPI 1053551739

Jimmy L Ezell Medical Corp is a Primary Care Clinic/Center based in Los Angeles, CA and is specialized in Primary Care. Jimmy L Ezell Medical Corp practices in Los Angeles, CA. The NPI Number for Jimmy L Ezell Medical Corp is 1053551739 and holds a License No. C27187 (California).

The current practice location address for Jimmy L Ezell Medical Corp is 7500 S Western Ave, Los Angeles, CA and can be reached out via phone at 323-971-2250 and via fax at 323-971-5605.

Location: 7500 S Western Ave, Los Angeles, CA, 90047-2429
institution
Provider Profile Details
NPI Number
1053551739
Provider Name
Jimmy L Ezell Medical Corp
Credential
Provider Entity Type
Organization
Address
7500 S Western Ave, Los Angeles, CA, 90047-2429
Phone Number
323-971-2250
Fax Number
323-971-5605
Provider Enumeration Date
02/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00C271870 05 CA
institution
Provider Business Practice Location Address Details
Address
7500 S Western Ave
City
State
Zip
90047-2429
Phone Number
323-971-2250
Fax Number
323-971-5605
person
Provider Business Mailing Address Details
Address
7500 S Western Ave
City
State
Zip
90047-2429
Phone Number
323-971-2250
Fax Number
323-971-5605
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
C27187 (California)
Definition
Definition to come...
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