Urban Med is a General Practice Physician based in Los Angeles, CA. Urban Med practices in Los Angeles, CA. The NPI Number for Urban Med is 1295019487 and holds a License No. 20A8154 (California).
The current practice location address for Urban Med is 408 W 11Th St, Los Angeles, CA and can be reached out via phone at 213-406-8055.
Location: 408 W 11Th St, Los Angeles, CA, 90015-2102
Provider Profile Details
NPI Number
1295019487
Provider Name
Urban Med
Credential
Provider Entity Type
Organization
Address
408 W 11Th St, Los Angeles, CA, 90015-2102
Phone Number
213-406-8055
Fax Number
Provider Enumeration Date
10/05/2011
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A8154 | 01 | CA | LICENSE |
Provider Business Practice Location Address Details
Address
408 W 11Th St
City
State
Zip
90015-2102
Phone Number
213-406-8055
Fax Number
Provider Business Mailing Address Details
Address
408 W 11Th St
City
State
Zip
90015-2102
Phone Number
213-406-8055
Fax Number
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
20A8154 (California)
Definition
Definition to come...
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