Individual
ALYSSA JEAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
442 CROCKER ST, LOS ANGELES, CA 90013-2115
(213) 727-6717
(323) 693-0016
Mailing address
7121 147TH ST SW, EDMONDS, WA 98026-3533
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
194531
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2021
Last updated
12/18/2025
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