Provider Demographics
NPI:1346699816
Name:THOMPSON, ELIZABETH ANNE MARIE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANNE MARIE
Last Name:THOMPSON
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:24422 AVENIDA DE LA CARLOTA STE 380
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3628
Mailing Address - Country:US
Mailing Address - Phone:949-514-6121
Mailing Address - Fax:
Practice Address - Street 1:881 ALMA REAL DR STE 316
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-5061
Practice Address - Country:US
Practice Address - Phone:310-454-2296
Practice Address - Fax:310-454-2295
Is Sole Proprietor?:No
Enumeration Date:2016-06-06
Last Update Date:2021-11-19
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Provider Licenses
StateLicense IDTaxonomies
CAA163281208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics