Individual provider · Type 1 NPI

Larry James Thompson

Specialist · Oakland, CA

NPI number 1861543670 Active

Practice location

7200 Bancroft Ave, Eastmont Town Center Bldg. B Suite 133
Oakland, CA 94605-2403

Fax (510) 553-8550

Mailing address

15990 Mateo St Apt 5
San Leandro, CA 94578-3021

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1861543670

Larry James Thompson's National Provider Identifier is 1861543670, issued on Jan 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.