Provider Information for 1386048403
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
MARINA JOSIFF THOMAS
Sex: Female
NPI: 1386048403
Last Updated: 2024-10-08
Certification Date: 2024-10-08
Certification Date: 2024-10-08
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386048403 | ||||||||||||
| Enumeration Date | 2014-10-17 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1426 254TH ST HARBOR CITY, CA 90710-2715 United States Phone: 213-660-6876 | Fax: | ||||||||||||
| Primary Practice Address | 1 CIVIC PLAZA DR CARSON, CA 90745-2243 United States Phone: 213-660-6876 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|