Individual
MR. AUSTIN LOUIS THORIMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
1711 W TEMPLE ST, LOS ANGELES, CA 90026-7329
(213) 989-6100
Mailing address
1711 W TEMPLE ST, LOS ANGELES, CA 90026-7329
(213) 989-6100
(213) 315-4153
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37790
BVNLPT
CA
Enumeration date
03/16/2021
Last updated
03/16/2021
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