Individual
CALEB DANIEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1941 JOHNSON AVE STE 101, SAN LUIS OBISPO, CA 93401-4154
(805) 782-8844
(805) 549-6985
Mailing address
1941 JOHNSON AVE STE 101, SAN LUIS OBISPO, CA 93401-4154
(805) 782-8844
(805) 549-6985
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A110277
CA
207RI0011X
Interventional Cardiology Physician
Primary
A110277
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01054
—
LA
Enumeration date
06/13/2007
Last updated
05/16/2025
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