# TREVIN THURMAN MD INC

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

## Provider details

- **NPI number:** 1992296420
- **Authorized official:** TREVIN THURMAN (MD)
- **Authorized official phone:** (310) 853-6390

## Contact information

- **Practice address:** 11500 W OLYMPIC BLVD STE 640, LOS ANGELES, CA 90064-1525
- **Practice address phone:** (310) 853-6390
- **Mailing address:** 13428 MAXELLA AVE STE 461, MARINA DEL REY, CA 90292-5620
- **Mailing address phone:** (310) 853-6390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A114470 | CA | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | A114470 | CA | — |

## Other

- **Enumeration date:** 05/21/2018
- **Last updated:** 05/10/2019