Vangsness, Carleton Thomas
Vangsness, Carleton Thomas is an individual health care provider with primary practice located at 1520 San Pablo St , Los Angeles CA 90033-5314. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Vangsness, Carleton Thomas can be contacted via phone (323) 442-5860.Contact Information
Primary practice address
1520 San Pablo St
Los Angeles CA 90033-5314
Phone: (323) 442-5860
Fax: (323) 442-6990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G56949 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | G56949 | California |
Profile Details
| NPI number | 1609829746 |
|---|---|
| LBN Legal business name | Vangsness, Carleton Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Sep 30th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609829746 | NPPES |
| California | MEDICAID | 00G569490 | |
| California | Other | 00G569490 |
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