Individual
RICHARD JASON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402-4677
(818) 787-2222
(818) 904-3502
Mailing address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402-4677
(818) 787-2222
(818) 904-3502
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
227811
CA
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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