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Organization
WALTER ALAIN THOMAS, M.D.
Active
Organization
WALTER ALAIN THOMAS, M.D.
Active
Other names
Walter Alain Thomas, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISABEL GARCIA ETC. (BILLING SUPERVISOR)
(858) 616-6400
Entity
Organization
Contact information
Practice address
3444 KEARNY VILLA RD, SUITE#3, SAN DIEGO, CA 92123-1959
(858) 616-6400
(858) 616-6936
Mailing address
3444 KEARNY VILLA RD, SUITE#303, SAN DIEGO, CA 92123-1959
(858) 616-6400
(858) 616-6936
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
A67913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A679130
—
CA
01
—
A67913
STATE LICENSE
CA
Enumeration date
12/13/2007
Last updated
12/13/2007
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