Provider Demographics
NPI:1386866291
Name:SIR THOMAS MORE MARRIAGE & FAMILY CLINIC
Entity Type:Organization
Organization Name:SIR THOMAS MORE MARRIAGE & FAMILY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:RUE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:562-290-9229
Mailing Address - Street 1:10630 SO DOWNEY AVE
Mailing Address - Street 2:SUITE #200
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241
Mailing Address - Country:US
Mailing Address - Phone:562-923-0341
Mailing Address - Fax:562-928-1965
Practice Address - Street 1:10630 SO DOWNEY AVE
Practice Address - Street 2:SUITE #200
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241
Practice Address - Country:US
Practice Address - Phone:562-923-0341
Practice Address - Fax:562-928-1965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D0410474OtherCALIF REGISTRATION NUMBER