Organization
DAVID A. THOMPSON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI M LOYA (OFFICE ADMINISTRATOR)
(818) 240-9041
Entity
Organization
Contact information
Practice address
435 ARDEN AVE, SUITE 560, GLENDALE, CA 91203-1130
(818) 240-9041
(818) 240-9043
Mailing address
435 ARDEN AVE, SUITE 560, GLENDALE, CA 91203-1130
(818) 240-9041
(818) 240-9043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G19061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G190610
—
CA
01
—
1861469454
SOLE PROPIETOR NPI
—
Enumeration date
02/02/2007
Last updated
08/22/2020
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