Individual provider · Type 1 NPI
Thomasina Blackwater, MD
Family Medicine Physician · Los Angeles, CA
Practice location
1300 N Mission Rd Fl 2
Los Angeles, CA 90033-1021
Mailing address
550 S Palos Verdes St Apt 632
San Pedro, CA 90731-5126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician Primary | 207Q00000X | A203016 (CA) |
Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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About NPI 1356915037
Thomasina Blackwater, MD's National Provider Identifier is 1356915037, issued on May 17, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 21, 2025.