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Organization

THOMAS J GERKE MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEO RENDON (OFFICE MANAGER)
(323) 262-0599
Entity
Organization

Contact information

Practice address
4055 E OLYMPIC BLVD, SUITE 207, LOS ANGELES, CA 90023-3329
(323) 262-0599
(323) 262-0699
Mailing address
4055 E OLYMPIC BLVD, SUITE 207, LOS ANGELES, CA 90023-3329
(323) 262-0599
(323) 262-0699

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G59290
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G592902
CA
Enumeration date
01/18/2007
Last updated
09/16/2008
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