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Dr. Bo Henriette Thordarson, MD
Specialist in Santa Monica, California
NPI 1578655601

Bo Henriette Thordarson is a Specialist based in Santa Monica, CA. Bo Henriette Thordarson practices in Santa Monica, CA and has the professional credentials of MD. The NPI Number for Bo Henriette Thordarson is 1578655601 and holds a License No. A51182 (California).

The current practice location address for Bo Henriette Thordarson is 2001 Santa Monica Blvd, Santa Monica, CA and can be reached out via phone at 310-829-7878 and via fax at 310-453-5586.

Location: 2001 Santa Monica Blvd, Santa Monica, CA, 90404-2199
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578655601
Provider Name
Bo Henriette Thordarson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2001 Santa Monica Blvd, Santa Monica, CA, 90404-2199
Phone Number
310-829-7878
Fax Number
310-453-5586
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2001 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2199
Phone Number
310-829-7878
Fax Number
310-453-5586
person
Provider Business Mailing Address Details
Address
2001 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2199
Phone Number
310-829-7878
Fax Number
310-453-5586
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A51182 (California)
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.
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