Individual
DR. IVAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
2080 CENTURY PARK E STE 501, LOS ANGELES, CA 90067-2008
(310) 203-8297
(310) 203-8816
Mailing address
2080 CENTURY PARK E STE 501, LOS ANGELES, CA 90067-2008
(310) 203-8297
(310) 203-8816
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A36556
CA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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