NPI 1093157786

1010 Pharmacy

Organisation Preferred Provider Organization Los Angeles, CA

Practice location

Address: 1010 Wilshire Blvd Suite 113, Los Angeles, CA 90017
Phone: (213) 784-9499
Fax: (213) 402-5260

Authorised official

Name: Nicholas Thomas
Title: President
Phone: (213) 784-9499

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 51478 (CA)

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Registry record

NPI: 1093157786
Entity type: Organization
NPI issued: 23 Jul 2013
Record last updated: 8 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.