# WALTER ALAIN THOMAS M D INC

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

## Provider details

- **NPI number:** 1316001167
- **Authorized official:** WALTER ALAIN THOMAS MD (PRESIDENT)
- **Authorized official phone:** (805) 497-0817

## Contact information

- **Practice address:** 258 LOMBARD ST STE 200, THOUSAND OAKS, CA 91360-5806
- **Practice address phone:** (805) 497-0817
- **Practice address fax:** (805) 497-0817
- **Mailing address:** 480 4TH AVE, SUITE 307, CHULA VISTA, CA 91910-4410
- **Mailing address phone:** (619) 426-3240
- **Mailing address fax:** (619) 426-5964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A67913 | CA | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 07/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A67913 | MEDICAL LICENSE | CA |
