Individual
LOUISE EJ THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, ROOM M335, LOS ANGELES, CA 90048
(310) 423-8000
Mailing address
PO BOX 4313, WOODLAND HILLS, CA 91365-4313
(805) 375-8800
(805) 375-8900
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
A91738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A917380
—
CA
01
—
P00335930
RR MEDICARE
—
Enumeration date
02/27/2007
Last updated
03/07/2023
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