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Thomas L. Vander Laan, M.d., Amc
Specialist in Pasadena, California
NPI 1972709376

Thomas L. Vander Laan, M.d., Amc is a Specialist based in Pasadena, CA. Thomas L. Vander Laan, M.d., Amc practices in Pasadena, CA. The NPI Number for Thomas L. Vander Laan, M.d., Amc is 1972709376 and holds a License No. G44443 (California).

The current practice location address for Thomas L. Vander Laan, M.d., Amc is 50 Bellefontaine St, Pasadena, CA and can be reached out via phone at 626-793-4136 and via fax at 626-793-8279.

Location: 50 Bellefontaine St, Pasadena, CA, 91105-3132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972709376
Provider Name
Thomas L. Vander Laan, M.d., Amc
Credential
Provider Entity Type
Organization
Address
50 Bellefontaine St, Pasadena, CA, 91105-3132
Phone Number
626-793-4136
Fax Number
626-793-8279
Provider Enumeration Date
06/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W1289 01 CA MEDICARE PTAN
00G444430 05 CA
institution
Provider Business Practice Location Address Details
Address
50 Bellefontaine St
City
Pasadena
State
California
Zip
91105-3132
Phone Number
626-793-4136
Fax Number
626-793-8279
person
Provider Business Mailing Address Details
Address
50 Bellefontaine St
City
Pasadena
State
California
Zip
91105-3132
Phone Number
626-793-4136
Fax Number
626-793-8279
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G44443 (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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