Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA ANNE POULOS
ActiveTHERESA ANNE POULOS is a Family Medicine healthcare provider located in SANTA MONICA, California. NPI 1588050173 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SANTA MONICA, CA
Registration Details
- NPI Number
- 1588050173
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2015 (11.344850157411 yrs)
- Last Updated
- Apr 5, 2022
- License
-
A145848 (CA)
Practice Information
- Address
-
1131 WILSHIRE BLVD STE 300SANTA MONICA, CA, 904012066Browse CA providers · Browse ZIP 90401
- Phone
- 3103955588
- Fax
- 3103956313
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SANTA MONICA, CA
| Name | Credential | NPI |
|---|---|---|
| MARYAM FARAZHA | MD | 1063416840 |
| DR. LARA E STEWART | D.O. | 1477559417 |
| DR. STEPHEN M PATT | MD | 1962498303 |
| DR. JEFFREY MICHAEL EGLER | M.D. | 1366420523 |
| MARC JENNINGS MORSE | M.D. | 1063491918 |
| SOPHIE H CHANG | MD | 1720053978 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.