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
Get Directions

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

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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