Organization
WALTER ALAIN THOMAS M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER ALAIN THOMAS MD (PRESIDENT)
(805) 497-0817
Entity
Organization
Contact information
Practice address
258 LOMBARD ST STE 200, THOUSAND OAKS, CA 91360-5806
(805) 497-0817
(805) 497-0817
Mailing address
480 4TH AVE, SUITE 307, CHULA VISTA, CA 91910-4410
(619) 426-3240
(619) 426-5964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A67913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A67913
MEDICAL LICENSE
CA
Enumeration date
12/19/2006
Last updated
07/11/2024
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