Heaven Thompson
NPI #1104542224 in Venice, California
Provider Information
- NPI Number
- 1104542224
- Entity Type
- Individual
- Name
- Heaven Thompson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Oct 19, 2022
- Last Updated
- Jan 27, 2025
Practice Location
- Address
- 503 OCEAN FRONT WALK
- City
- Venice
- State
- California
- ZIP Code
- 90291-2403
- Phone
- (310) 392-3070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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