Individual
THOMAS CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 SOUTH ST STE 408, LAKEWOOD, CA 90712-1510
(562) 630-0423
Mailing address
3650 SOUTH ST STE 408, LAKEWOOD, CA 90712-1510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
256526
MA
208800000X
Urology Physician
Primary
A162971
CA
Other
Enumeration date
06/05/2013
Last updated
06/13/2022
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