Provider Demographics
NPI:1225037047
Name:CACHUR, THOMAS JOHN JR (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JOHN
Last Name:CACHUR
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:1513 S GRAND AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-3075
Mailing Address - Country:US
Mailing Address - Phone:213-747-7307
Mailing Address - Fax:
Practice Address - Street 1:900 S MAIN ST
Practice Address - Street 2:SUITE 209
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882
Practice Address - Country:US
Practice Address - Phone:951-735-6969
Practice Address - Fax:951-343-3483
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2018-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9086207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A9086OtherLICENCE