05D0584165 CLIA NUMBER - WALTER THOMAS MD

Laboratory Demographics

CLIA Number: 05D0584165

Facility Name: WALTER THOMAS MD

Facility Address:
1980 SEQUOIA AVE
SIMI VALLEY, CA
ZIP 93063
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Facility Phone Number: (805) 527-1804

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1598953358

Taxonomy: 207QA0401X - Family Medicine
A family medicine physician who specializes in the diagnosis and treatment of addictions.

CLIA Record

Field Name Field Value
CLIA Number 05D0584165
LAB Type PHYSICIAN OFFICE
Facility Name WALTER THOMAS MD
Street 1980 SEQUOIA AVE
City SIMI VALLEY
State CA
ZIP 93063
Phone (805) 527-1804

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This page was last updated on: 1/7/2022