Individual
DAVID B. THORDARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST, #2000, LOS ANGELES, CA 90033-5310
(323) 442-5860
(323) 442-6990
Mailing address
1520 SAN PABLO ST, #2000, LOS ANGELES, CA 90033-5310
(323) 442-5860
(323) 442-6990
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G56184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G561840
—
CA
01
—
00G561840
BLUE SHIELD
CA
Enumeration date
08/13/2006
Last updated
07/08/2007
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