Doctor Name: | DR. CHRISTINE A. THORNE |
NPI Number: | 1003251901 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | A119180 |
Business Practice Address: | 9500 Gilman Dr Dept 811 La Jolla, CA - 920930811 |
Business Phone Number: | 8585349540 |
Business Fax Number: | |
Mailing Address: | 823 Gateway Center Way, SAN DIEGO |
State: | CA |
Postal Code: | 921024541 |
Phone Number: | 6195152300 |
Fax Number: | 6199064564 |
NPI Enumeration Date: | 05/06/2013 |
NPI Last Update Date: | 01/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A119180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |