Thomas L. Vander Laan, M.D., Amc

LBN: Thomas L. Vander Laan, M.D., Amc
Thomas L. Vander Laan, M.D., Amc is an health care organization with primary practice located at 50 Bellefontaine St Ste 303, Pasadena CA 91105-3132. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Thomas L. Vander Laan, M.D., Amc can be contacted via phone (626) 793-4136, or through Vander Laan, Thomas L via phone (626) 793-4136.

Contact Information

Primary practice address
50 Bellefontaine St Ste 303 Pasadena CA 91105-3132
Phone: (626) 793-4136
Fax: (626) 793-8279
Website:
Map and Directions
Authorized official contact:
Name: Vander Laan, Thomas L Doctor of Medicine (MD)
Phone: (626) 793-4136

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G44443 California

Profile Details

NPI number 1972709376
LBN Legal business name Thomas L. Vander Laan, M.D., Amc
DBA Doing business as
Authorized official Vander Laan, Thomas L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2007
Last updated Apr 1st, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972709376 NPPES
California Other W1289 MEDICARE PTAN
California MEDICAID 00G444430 MEDICARE PTAN

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