Thomas L. Vander Laan, M.D., Amc in Pasadena - Specialist

Thomas L. Vander Laan, M.D., Amc - NPI 1972709376

Thomas L. Vander Laan, M.D., Amc is a Specialist in Pasadena, California. Thomas L. Vander Laan, M.D., Amc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Thomas L. Vander Laan, M.D., Amc is 1972709376. The last update date is 2013-04-01.

Thomas L. Vander Laan, M.D., Amc's current location address is 50 Bellefontaine St, Pasadena, California. You can contact this provider via phone number 6267934136 and fax number 6267938279. The mailing address for Thomas L. Vander Laan, M.D., Amc is 50 Bellefontaine St, Pasadena, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Thomas L. Vander Laan, M.D., Amc
Address 50 Bellefontaine St, Pasadena, California
Phone Number 6267934136
Fax Number 6267938279
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR-P
Authorized Official Name Vander Laan L Thomas
Credentials M.D.
Telephone Number 6267934136

NPI Number Detail

NPI Number 1972709376
Provider Enumeration Date 2007-06-22
Last Updated Date 2013-04-01

Provider Mailing Address Detail

Address 50 Bellefontaine St
City Pasadena
State California (CA)
Post Code 911053132
Phone Number 6267934136
Fax Number 6267938279

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G44443
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
W1289 CA MEDICARE PTAN
00G444430 CA --

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FAQs about Thomas L. Vander Laan, M.D., Amc

What is the unique identifier code issued to Thomas L. Vander Laan, M.D., Amc by the Centers for Medicare & Medicaid Services?

The Thomas L. Vander Laan, M.D., Amc has been assigned the NPI (National Provider Identifier) 1972709376. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Thomas L. Vander Laan, M.D., Amc located?

The Thomas L. Vander Laan, M.D., Amc is located at 50 Bellefontaine St, Pasadena, CA 911053132.

What is the Thomas L. Vander Laan, M.D., Amc's specialty and taxonomy code?

The Thomas L. Vander Laan, M.D., Amc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1972709376 to Thomas L. Vander Laan, M.D., Amc?

The Centers for Medicare & Medicaid Services assigned the 1972709376 to Thomas L. Vander Laan, M.D., Amc on 2007-06-22.

When was the information related to Thomas L. Vander Laan, M.D., Amc most recently updated or refreshed?

The details pertaining to the Thomas L. Vander Laan, M.D., Amc, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-04-01.

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