| Doctor Name: | KATHRYN L THOMPSON |
| NPI Number: | 1003182130 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | PA21927 |
| Business Practice Address: | 1010 W La Veta Ave 200 Orange, CA - 928684300 |
| Business Phone Number: | 7148351800 |
| Business Fax Number: | 7149757433 |
| Mailing Address: | 1010 W La Veta Ave, 200 ORANGE |
| State: | CA |
| Postal Code: | 928684300 |
| Phone Number: | 7148351800 |
| Fax Number: | 7149757433 |
| NPI Enumeration Date: | 03/22/2012 |
| NPI Last Update Date: | 03/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA21927 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |