Thomas K. Ciesla, M.d. Inc.

NPI 1265825350 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1265825350
Enumeration Date 03/12/2015
Last Updated 03/12/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name THOMAS K. THOMAS
Position PRESIDENT
Phone (310) 315-0300
Fax (310) 315-0302
Practice Location
1301 20TH ST
SUITE 212
SANTA MONICA CA, 90404-2050, US
Phone (310) 315-0300
Fax (310) 315-0302
Business Location
1301 20TH ST
SUITE 212
SANTA MONICA CA, 90404-2050, US
Phone (310) 315-0300
Fax (310) 315-0302
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number G9703
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According to our database, Thomas K. Ciesla, M.d. Inc. NPI is 1265825350, taxonomy code is 2084P0800X and license number is G9703, license state is located at California. Thomas K. Ciesla, M.d. Inc. physically located at 1301 20th St, Santa Monica CA, 90404-2050. NPI Number 1033115704 has the healthcare provider type.

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1265825350 NPI number is provided on an as is basis without warranty of any kind. 1265825350 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas K. Ciesla, M.d. Inc. are for informational purposes only.