NPI | 1508396730 |
---|---|
Other Name | LISA L. THOMSEN M.D. |
Entity Type | Organization |
Authorized Contact | LISA L THOMSEN President CEO 626-963-4149 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G63943) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2022-07-21 |