Organization · Type 2 NPI
Jimmy L Ezell Medical Corp
Primary Care Clinic/Center · Los Angeles, CA
NPI number
1053551739
Active
Practice location
7500 S Western Ave
Los Angeles, CA 90047-2429
Fax (323) 971-5605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | C27187 (CA) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1053551739
Jimmy L Ezell Medical Corp's National Provider Identifier is 1053551739, issued on Feb 20, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 6, 2009.