Individual
JACOB STEPHEN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 EASTLAKE AVE, LOS ANGELES, CA 90089
(323) 865-3105
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3105
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
A129536
CA
207RX0202X
Medical Oncology Physician
Primary
A129536
CA
Other
Enumeration date
03/21/2012
Last updated
11/27/2023
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