# BERT J THOMAS, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023277340
- **Authorized official:** BERT J THOMAS M.D. (OWNER)
- **Authorized official phone:** (310) 202-6204

## Contact information

- **Practice address:** 10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
- **Practice address phone:** (310) 202-6204
- **Practice address fax:** (310) 202-0831
- **Mailing address:** 15332 ANTIOCH ST, SUITE 105, PACIFIC PALISADES, CA 90272-3628
- **Mailing address phone:** (310) 202-6204
- **Mailing address fax:** (310) 202-0831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G43282 | CA | Yes |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 06/02/2008