Robert Thayer, DO
Internal Medicine in Los Angeles, CA. Individual provider (NPI-1).
NPI number1396199378
StatusActive
Last updated in NPPESDec 13, 2019
Details
- NPI
- 1396199378
- Entity type
- Individual (NPI-1)
- Name
- Robert Thayer
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2016
- Certification date
- Dec 13, 2019
- Last updated
- Dec 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 20A17097 | CA | Yes |
Practice location
1300 N Vermont AveLos Angeles, CA 90027-6098
Phone 323-913-4387 · Fax 323-953-6338
Mailing address
418 S Electric Ave Apt AAlhambra, CA 91803-1656
Phone 858-539-3286 · Fax 602-344-1185
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