DR. BO HENRIETTE THORDARSON M.D.
NPI 1578655601
Specialist in Santa Monica, CA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since September 28, 2006

2001 SANTA MONICA BLVD, #970-W, SANTA MONICA, CA 90404(310) 829-7878(310) 453-5586 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Bo Henriette Thordarson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BO HENRIETTE THORDARSON M.D. (NPI 1578655601) is an individual specialist in Santa Monica, California, licensed in California (A51182) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1578655601

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. BO HENRIETTE THORDARSONCredential: M.D.

Location Address2001 SANTA MONICA BLVD, #970-WSanta Monica, CA 90404-2199

Mailing Address2001 Santa Monica Blvd, #970-wSanta Monica, CA 90404-2199 · (310) 829-7878 · Fax (310) 453-5586

Phone(310) 829-7878

Fax(310) 453-5586

Sole ProprietorNo

Enumeration DateSeptember 28, 2006

Last NPPES UpdateDecember 16, 2010

✔ NPI 1578655601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A51182

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2001 SANTA MONICA BLVD, Santa Monica, CA 90404

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