Organization
WALTER K THEIS MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER KURT THEIS II M.D (PRESIDENT)
(310) 264-8385
Entity
Organization
Contact information
Practice address
3011 WILSHIRE BLVD, SANTA MONICA, CA 90403-2301
(310) 264-8385
(310) 264-9076
Mailing address
15322 ANTIOCH ST, #87, PACIFIC PALISADES, CA 90272-3603
(310) 264-8385
(310) 264-9076
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
G29942
CA
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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