Dr. Jerald John Thanos
Obstetrician & Gynecologist
2262 N State College Blvd
Fullerton
, California 92831-1361
Dr. Jerald John Thanos
Obstetrician & Gynecologist
2262 N State College Blvd
Fullerton
, California 92831-1361
(714) 990-3133
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Jerald John Thanos
- 2262 N State College Blvd
- Fullerton, CA
- Zip : 92831-1361
- Fax : (714) 990-3133
- Phone : (714) 990-2900
Second Address
- Dr. Jerald John Thanos
- 2262 N State College Blvd
- Fullerton, CA
- Zip : 92831-1361
- Fax : (714) 990-3133
- Phone : (714) 990-2900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | A46502 | CA |
National Provider Identifier
| NPI | 1013947738 |
|---|---|
| Provider Name | Dr. Jerald John Thanos |
| First Address | Fullerton, CA 92831-1361 |
| Second Address | Fullerton, CA 92831-1361 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 26/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A465020 | (05) | CA |
| A46502 | MEDICAL LICENSE NUMBER (01) | CA |
| DL093Z | MEDICARE PTAN (01) | CA |
| E41797 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.