MEDICARE: HMT URGENT CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1366934770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HMT URGENT CARE INC

Provider Business Mailing Address
First Line	:	1407 N VERMONT AVE STE B
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6023
Country	:	US
Telephone Number	:	323-522-6207
Fax Number	:

Provider Business Practice Location Address
First Line	:	1407 N VERMONT AVE STE B
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6023
Country	:	US
Telephone Number	:	323-522-6207
Fax Number	:

Authorized Official
Title or Position	:	BILLING AGENT
Name	:	LILIYA FICHMAN
Credential	:
Telephone Number	:	818-970-0198

Provider Enumeration Date	:	05/31/2018
Last Update Date	:	10/24/2019

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Directions to “HMT URGENT CARE INC ” Practice Location

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