| David A. Thompson M.d. Inc | |
|
435 Arden Ave Suite 560 Glendale CA 91203-1130 | |
| (818) 240-9041 | |
| (818) 240-9043 |
| Full Name | David A. Thompson M.d. Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 435 Arden Ave, Glendale, California |
| Authorized Official Name and Position | David Alan Thompson (PRESIDENT) |
| Authorized Official Contact | 8182409041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David A. Thompson M.d. Inc 435 Arden Ave Suite 560 Glendale CA 91203-1130 Ph: (818) 240-9041 | David A. Thompson M.d. Inc 435 Arden Ave Suite 560 Glendale CA 91203-1130 Ph: (818) 240-9041 |
| NPI Number | 1629361449 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 05/26/2011 |
| Medicare PECOS PAC ID | 5698954626 |
|---|---|
| Medicare Enrollment ID | O20110124000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629361449 | NPI | - | NPPES |
| 00G190610 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G19061 (California) | Primary |
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