Individual
EDDIE THARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11480 BROOKSHIRE AVE, SUITE 309, DOWNEY, CA 90241-5025
(562) 869-1201
(562) 869-1281
Mailing address
18000 STUDEBAKER RD STE 800, CERRITOS, CA 90703-2671
(562) 735-3226
(562) 869-1281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A10972
CA
207RH0003X
Hematology & Oncology Physician
Primary
20A10972
CA
Other
Enumeration date
11/12/2009
Last updated
11/19/2018
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