| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Christopher Thompson | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Christopher | [sources] | |||
| Last name | Thompson | [sources] | |||
| NPI | 1689631178 | [sources] | |||
| Registration number | 00G314750 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 309 West Beverly Blvd., Montebello, CA · 4640 Admiralty Way, Fl. #5, Marina Del Rey, CA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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