Individual
DR. FREDERICK NATHAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 W FLORENCE AVE, LOS ANGELES, CA 90043-5144
(323) 778-6600
(323) 778-6691
Mailing address
PO BOX 8310, INGLEWOOD, CA 90308-8310
(323) 778-6600
(323) 778-6691
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G 40388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G40388
—
CA
Enumeration date
06/07/2006
Last updated
06/09/2011
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