Thayer, Karisa

Thayer, Karisa is an sole proprietor health care provider with primary practice located at 742 W Gardena Blvd , Gardena CA 90247-5024. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Thayer, Karisa can be contacted via phone (310) 327-1357.

Contact Information

Primary practice address
742 W Gardena Blvd Gardena CA 90247-5024
Phone: (310) 327-1357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A140754 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A140754 California

Profile Details

NPI number 1558765941
LBN Legal business name Thayer, Karisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2014
Last updated Nov 17th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558765941 NPPES
California MEDICAID KA3232267556).

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