NPIMap

Organization Active NPI

Hollywood Walk in Clinic

  • Urgent Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1447592779
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
22876 Issued in CA
Legal business name
HOLLYWOOD WALK IN CLINIC
Practice address
6430 Selma Ave
Los Angeles, CA 90028-7311
Phone
(323) 848-4522
NPI assigned
Mar 25, 2013
Last updated
Mar 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Deonza Thymes, M.D.
Title
Supervising Physician
Phone
(323) 848-4522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 22876 CA Primary

Addresses

Primary practice location

6430 Selma Ave
Los Angeles, CA 90028-7311

Mailing address

6430 Selma Ave
Los Angeles, CA 90028-7311

National Provider Directory

National Provider Directory
Tax ID family
Hollywood Walk in Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6430 Selma Ave
Los Angeles, CA 90028
Phone (323) 543-4433

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1447592779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 SELMA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 SELMA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287311",
            "telephone_number": "323-848-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD WALK IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "THYMES",
        "authorized_official_first_name": "DEONZA",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "323-848-4522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "22876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.