Organization
POCKETRN CARE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL CRANDALL THOMAS MD (PRESIDENT)
(801) 718-1997
Entity
Organization
Contact information
Practice address
617 W OLIVE AVE, MONROVIA, CA 91016-3240
(808) 230-1795
Mailing address
901 H ST NE APT 750, WASHINGTON, DC 20002-7057
(808) 230-1795
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
183500000X
Pharmacist
—
—
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
11/28/2023
Last updated
03/12/2024
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