| 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 |