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Organization

JAMES T LONDON M D A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES THOMAS LONDON M.D. (PRESIDENT/CEO)
(310) 833-2406
Entity
Organization

Contact information

Practice address
1360 W 6TH ST, SUITE 305, SAN PEDRO, CA 90732-3569
(310) 833-2406
(310) 519-8936
Mailing address
1360 W 6TH ST, SUITE 305, SAN PEDRO, CA 90732-3569
(310) 833-2406
(310) 519-8936

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A23448
TYPE I NPI : 1366500647
CA
Enumeration date
03/22/2011
Last updated
11/18/2014
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