Individual
DR. CHERYL EMILY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
134 GRAPEVINE RD, VISTA, CA 92083-4004
(760) 631-5000
(760) 414-3892
Mailing address
1000 VALE TERRACE DR, VCC - GRAPEVINE, VISTA, CA 92084-5218
(760) 631-5000
(760) 414-3892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A102687
CA
261QF0400X
Federally Qualified Health Center (FQHC)
A102687
CA
Other
Enumeration date
06/02/2008
Last updated
03/17/2018
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