Thomas, Bert J.
Thomas, Bert J. is an sole proprietor health care provider with primary practice located at 10833 Le Conte Ave , Los Angeles CA 90095-3075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Thomas, Bert J. can be contacted via phone (310) 202-6204.Contact Information
Primary practice address
10833 Le Conte Ave
Los Angeles CA 90095-3075
Phone: (310) 202-6204
Fax: (310) 202-0831
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | G43282 | California |
Profile Details
NPI number | 1699872366 |
---|---|
LBN Legal business name | Thomas, Bert J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 17th, 2006 |
Last updated | Jul 8th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699872366 | NPPES |
California | MEDICAID | 00G432820 |
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