Individual
JOHN KEVIN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SPECIALIST
Contact information
Practice address
61 LAKEWOOD CENTER MALL STE J, LAKEWOOD, CA 90712-2417
(562) 416-1656
Mailing address
15620 S NORMANDIE AVE APT J, GARDENA, CA 90247-4041
(562) 416-1656
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
B78253
CA
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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