Provider Demographics
NPI:1720464084
Name:THORBURN, JOSHUA NOEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:NOEL
Last Name:THORBURN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8408 BEVERLY BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3402
Mailing Address - Country:US
Mailing Address - Phone:310-890-0035
Mailing Address - Fax:310-258-2410
Practice Address - Street 1:8408 BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-3402
Practice Address - Country:US
Practice Address - Phone:310-358-2400
Practice Address - Fax:310-358-2410
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-09
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68720183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist