Lowell P Theard MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G37108 Issued in CA

Legal business name

LOWELL P THEARD MD INC

Practice address

3831 Hughes Ave
705
Culver City, CA 90232-2751

Phone

(310) 838-6801

Fax

(310) 838-5385

NPI assigned

May 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lowell P Theard, MD

Title

President

Phone

(310) 838-6801

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1023065992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 DON TAPIA PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900084236",
            "telephone_number": "310-838-6801",
            "fax_number": "310-838-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "705",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "310-838-6801",
            "fax_number": "310-838-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWELL P THEARD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "THEARD",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-838-6801",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G37108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023065992",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.