Russell Thomas, - Counselor in Los Angeles, CA

Russell Thomas, is a Counselor - Addiction (substance Use Disorder) based in Los Angeles, California. Russell Thomas is licensed to practice in California (license number 169206) and his current practice location is 600 W Manchester Ave, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (424) 703-0344.

NPI number for Russell Thomas is 1174040430 and his current mailing address is 23200 Western Ave, Harbor City, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174040430.

Contact Information

Russell Thomas,
600 W Manchester Ave,
Los Angeles, CA 90044-5770
(424) 703-0344
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameRussell Thomas
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location600 W Manchester Ave, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174040430
  • Provider Enumeration Date: 08/28/2017
  • Last Update Date: 08/28/2017

Medical Identifiers

Medical identifiers for Russell Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174040430NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 169206 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Russell Thomas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Russell Thomas,
23200 Western Ave,
Harbor City, CA 90710-1061

Ph: (424) 703-0344
Russell Thomas,
600 W Manchester Ave,
Los Angeles, CA 90044-5770

Ph: (424) 703-0344

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