Provider Demographics
NPI:1083868426
Name:KARLA THOMPSON, DDS, INC
Entity Type:Organization
Organization Name:KARLA THOMPSON, DDS, INC
Other - Org Name:KARLA L GUINN, DDS, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:GUINN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-654-7100
Mailing Address - Street 1:18981 VENTURA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-3256
Mailing Address - Country:US
Mailing Address - Phone:818-654-7100
Mailing Address - Fax:818-654-7087
Practice Address - Street 1:18981 VENTURA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3256
Practice Address - Country:US
Practice Address - Phone:818-654-7100
Practice Address - Fax:818-654-7087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49538261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental