Individual
PAUL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26167 VIA RAZA, SANTA CLARITA, CA 91355-3343
(323) 919-9331
Mailing address
25515 CHISOM LN, STEVENSON RANCH, CA 91381-1634
(323) 919-9331
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
197609887
CA
3104A0625X
Assisted Living Facility (Mental Illness)
197610180
CA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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