Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A142222 | CA |
NPI | 1578829362 |
---|---|
Provider Name | Semara Thomas |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90017-4005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2012 |
Last Update Date | 08/12/2021 |