Organization
WALTER ALAIN THOMAS, M.D.
Active
Other names
Walter Alain Thomas, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISABEL GARCIA ETC. (BILLING SUPERVISOR)
(858) 616-6400
Entity
Organization
Contact information
Practice address
3444 KEARNY VILLA RD, SUITE#3, SAN DIEGO, CA 92123-1959
(858) 616-6400
(858) 616-6936
Mailing address
3444 KEARNY VILLA RD, SUITE#303, SAN DIEGO, CA 92123-1959
(858) 616-6400
(858) 616-6936
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
A67913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A679130
—
CA
01
—
A67913
STATE LICENSE
CA
Enumeration date
12/13/2007
Last updated
12/13/2007
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