# BLAKE THOMPSON MD INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ROC Rehabilitation and Orthopedic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548805393
- **Authorized official:** DR. BLAKE R THOMPSON MD (PRESIDENT)
- **Authorized official phone:** (619) 284-6377

## Contact information

- **Practice address:** 9040 FRIARS RD STE 400, SAN DIEGO, CA 92108-5862
- **Practice address phone:** (619) 284-6377
- **Mailing address:** 9040 FRIARS RD STE 400, SAN DIEGO, CA 92108-5862
- **Mailing address phone:** (619) 284-6377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 11/14/2019
- **Last updated:** 11/14/2019