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Organization
THOMAS A. HANSCOM, MD A MEDICAL CORPORATION
Active
Organization
THOMAS A. HANSCOM, MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER R RANDALL (BILLING MANAGER)
(310) 829-3303
Entity
Organization
Contact information
Practice address
2021 SANTA MONICA BLVD STE 720E, SANTA MONICA, CA 90404-2223
(310) 829-3303
Mailing address
2021 SANTA MONICA BLVD STE 720E, SANTA MONICA, CA 90404-2223
(310) 829-3303
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/23/2008
Last updated
01/24/2008
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