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Organization
THOMAS K. CIESLA, M.D. INC.
Active
Organization
THOMAS K. CIESLA, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS K. CIESLA M.D. (PRESIDENT)
(310) 315-0300
Entity
Organization
Contact information
Practice address
1301 20TH ST, SUITE 212, SANTA MONICA, CA 90404-2050
(310) 315-0300
(310) 315-0302
Mailing address
1301 20TH ST, SUITE 212, SANTA MONICA, CA 90404-2050
(310) 315-0300
(310) 315-0302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G9703
CA
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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