Individual provider · Type 1 NPI

Bo Henriette Thordarson, MD

Specialist · Santa Monica, CA

NPI number 1578655601 Active

Practice location

2001 Santa Monica Blvd, #970-W
Santa Monica, CA 90404-2199

Call (310) 829-7878 Map

Fax (310) 453-5586

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA51182 (CA)

Specialist: 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.

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About NPI 1578655601

Bo Henriette Thordarson, MD's National Provider Identifier is 1578655601, issued on Sep 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Santa Monica, CA. The record was last updated on Dec 16, 2010.