# JAMES T LONDON M D A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1205135878
- **Authorized official:** DR. JAMES THOMAS LONDON M.D. (PRESIDENT/CEO)
- **Authorized official phone:** (310) 833-2406

## Contact information

- **Practice address:** 1360 W 6TH ST, SUITE 305, SAN PEDRO, CA 90732-3569
- **Practice address phone:** (310) 833-2406
- **Practice address fax:** (310) 519-8936
- **Mailing address:** 1360 W 6TH ST, SUITE 305, SAN PEDRO, CA 90732-3569
- **Mailing address phone:** (310) 833-2406
- **Mailing address fax:** (310) 519-8936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2011
- **Last updated:** 11/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A23448 | TYPE I NPI : 1366500647 | CA |