Organization
GEORGE THOMPSON JR. M.D. INC.
Active
Other names
GEORGE THOMPSON JR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE THOMPSON JR. M.D. (PRESIDENT)
(310) 327-5552
Entity
Organization
Contact information
Practice address
1141 W REDONDO BEACH BLVD, SUITE 311, GARDENA, CA 90247-3586
(310) 327-5552
(310) 324-0693
Mailing address
1141 W REDONDO BEACH BLVD, SUITE 311, GARDENA, CA 90247-3586
(310) 327-5552
(310) 324-0693
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
C27063
CA
291U00000X
Clinical Medical Laboratory
05D0547779
CA
291U00000X
Clinical Medical Laboratory
05D0717956
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C270630
—
CA
01
—
A33274
UPIN
CA
Enumeration date
07/23/2006
Last updated
09/08/2008
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