Individual
DR. THOMAS PETER GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-3075
(310) 825-2111
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G075583
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G075583
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G755830
—
CA
Enumeration date
06/30/2006
Last updated
01/10/2020
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