Organization
SILAS J. THOMAS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SILAS J THOMAS M.D. (PRESIDENT)
(310) 776-0806
Entity
Organization
Contact information
Practice address
3628 E IMPERIAL HWY, SUITE 200, LYNWOOD, CA 90262-2643
(310) 776-0806
(562) 590-8460
Mailing address
PO BOX 1450, LONG BEACH, CA 90801-1450
(310) 776-0806
(562) 590-8460
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G35214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G352140
—
CA
Enumeration date
11/03/2006
Last updated
08/04/2016
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