Organization
JAMES D. THOMAS, M.D. P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D THOMAS M.D. (MEDICAL DIRECTOR)
(818) 831-4100
Entity
Organization
Contact information
Practice address
10515 BALBOA BLVD, 200, GRANADA HILLS, CA 91344-6343
(818) 831-4100
(818) 831-4900
Mailing address
10515 BALBOA BLVD, 200, GRANADA HILLS, CA 91344-6343
(818) 831-4100
(818) 831-4900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G21216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G21216
MEDICAL LICENCE
CA
Enumeration date
08/24/2011
Last updated
08/24/2011
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