Basic Information
| Provider Information | |||||||||
| NPI: | 1932154580 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THOMAS | ||||||||
| FirstName: | SHERRY | ||||||||
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| Credential: | MD MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1251 | ||||||||
| Address2: | |||||||||
| City: | AGOURA HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913761251 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9403825230 | ||||||||
| FaxNumber: | 9403872794 | ||||||||
| Practice Location | |||||||||
| Address1: | 1240 S WESTLAKE BLVD | ||||||||
| Address2: | STE 117 | ||||||||
| City: | WESTLAKE VILLAGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913611978 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8189910988 | ||||||||
| FaxNumber: | 8189910914 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2006 | ||||||||
| LastUpdateDate: | 10/08/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | C042670 | CA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.