Thomas, Jay R

Thomas, Jay R is an individual health care provider with primary practice located at 1624 Bank St , South Pasadena CA 91030-3830. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Thomas, Jay R can be contacted via phone (626) 487-0036.

Contact Information

Primary practice address
1624 Bank St South Pasadena CA 91030-3830
Phone: (626) 487-0036
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X A55197 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A55197 California

Profile Details

NPI number 1013092980
LBN Legal business name Thomas, Jay R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jun 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013092980 NPPES
California MEDICAID 00A551970

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