Organization
DAVID K THEIN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID K THEIN (PRESIDENT)
(818) 790-2259
Entity
Organization
Contact information
Practice address
1420 S CENTRAL AVE, GLENDALE, CA 91204-2508
(818) 502-2252
(818) 502-4738
Mailing address
225 S LAKE AVE, 535, PASADENA, CA 91101-3005
(626) 795-6596
(626) 396-0851
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G69707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G697070
BLUE SHIELD
CA
05
—
00G697070
—
CA
Enumeration date
11/07/2008
Last updated
03/27/2009
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