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Individual

DR. THOMAS JOHN KREMEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095
(310) 319-1234
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A101807
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A101807
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A101807
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
06/09/2008
Last updated
10/18/2018
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