Provider Demographics
NPI:1023344918
Name:THOMAS, CLAUDEWELL SIDNEY (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDEWELL
Middle Name:SIDNEY
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:30676 PALOS VERDES DR E
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-6354
Mailing Address - Country:US
Mailing Address - Phone:310-519-9117
Mailing Address - Fax:310-519-9274
Practice Address - Street 1:30676 PALOS VERDES DR E
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-6354
Practice Address - Country:US
Practice Address - Phone:310-519-9117
Practice Address - Fax:310-519-9274
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG66282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAT5708411OtherDEA