Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | A91738 | CA |
NPI | 1487780813 |
---|---|
Provider Name | Louise Ej Thomson |
First Address | Woodland Hills, CA 91365-4313 |
Second Address | Los Angeles, CA 90048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 15/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A917380 | (05) | CA |
BT9316677 | US DEPT OF JUSTICE DEA (01) | |
I47777 | (02) | |
P00335930 | RR MEDICARE (01) |