| Doctor Name: | DR. THYRA J. ENDICOTT |
| NPI Number: | 1023039948 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A61316 |
| Business Practice Address: | 510 N Prospect Ave Suite 104 Redondo Beach, CA - 902773028 |
| Business Phone Number: | 3105174785 |
| Business Fax Number: | |
| Mailing Address: | Po Box 14556, TORRANCE |
| State: | CA |
| Postal Code: | 905038556 |
| Phone Number: | 3105174785 |
| Fax Number: | |
| NPI Enumeration Date: | 07/23/2006 |
| NPI Last Update Date: | 10/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | A61316 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |