| Thomas K. Ciesla, M.d. Inc. | |
|
1301 20th St Suite 212 Santa Monica CA 90404-2050 | |
| (310) 315-0300 | |
| (310) 315-0302 |
| Full Name | Thomas K. Ciesla, M.d. Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1301 20th St, Santa Monica, California |
| Authorized Official Name and Position | Thomas K. Ciesla (PRESIDENT) |
| Authorized Official Contact | 3103150300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas K. Ciesla, M.d. Inc. 1301 20th St Suite 212 Santa Monica CA 90404-2050 Ph: (310) 315-0300 | Thomas K. Ciesla, M.d. Inc. 1301 20th St Suite 212 Santa Monica CA 90404-2050 Ph: (310) 315-0300 |
| NPI Number | 1265825350 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265825350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G9703 (California) | Primary |
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