# THOMAS J GERKE MD INC

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

## Provider details

- **NPI number:** 1265585061
- **Authorized official:** LEO RENDON (OFFICE MANAGER)
- **Authorized official phone:** (323) 262-0599

## Contact information

- **Practice address:** 4055 E OLYMPIC BLVD, SUITE 207, LOS ANGELES, CA 90023-3329
- **Practice address phone:** (323) 262-0599
- **Practice address fax:** (323) 262-0699
- **Mailing address:** 4055 E OLYMPIC BLVD, SUITE 207, LOS ANGELES, CA 90023-3329
- **Mailing address phone:** (323) 262-0599
- **Mailing address fax:** (323) 262-0699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G59290 | CA | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 09/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G592902 | — | CA |