Organization
CARDINAL INNOVATIVE MEDICAL PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A THAMES MD (PRESIDENT)
(800) 997-6196
Entity
Organization
Contact information
Practice address
1 CALIFORNIA ST STE 2300, SAN FRANCISCO, CA 94111-5424
(800) 997-6196
(833) 523-9924
Mailing address
1 CALIFORNIA ST STE 2300, SAN FRANCISCO, CA 94111-5424
(800) 997-6196
(833) 523-9924
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
10/16/2024
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