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Organization

BLAKE THOMPSON MD INC.

Active
Other names
ROC Rehabilitation and Orthopedic Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BLAKE R THOMPSON MD (PRESIDENT)
(619) 284-6377
Entity
Organization

Contact information

Practice address
9040 FRIARS RD STE 400, SAN DIEGO, CA 92108-5862
(619) 284-6377
Mailing address
9040 FRIARS RD STE 400, SAN DIEGO, CA 92108-5862
(619) 284-6377

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2251X0800X
Orthopedic Physical Therapist
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043308471
NPI
CA
01
1114348240
NPI
CA
01
1164858502
NPI
IL
01
1205130481
NPI
CA
01
1396843587
NPI
CA
01
1447785811
NPI
CA
01
1972725505
NPI
CA
Enumeration date
11/14/2019
Last updated
11/14/2019
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