MEDICARE: THOMAS KARL CIESLA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	G9703	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	061432	OTHER	CA	MANAGED HEALTH NETWORK

General Provider Information

NPI Number	:	1780683169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS KARL CIESLA MD

Provider Business Mailing Address
First Line	:	1301 20TH ST
Second Line	:	STE 212
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-2050
Country	:	US
Telephone Number	:	310-315-0300
Fax Number	:	310-315-0302

Provider Business Practice Location Address
First Line	:	1301 20TH ST
Second Line	:	STE 212
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-2050
Country	:	US
Telephone Number	:	310-315-0300
Fax Number	:	310-315-0302

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	01/09/2010

Similar Medicare Providers

1568683076 — DR. PHILIP MICHAEL BRETSKY MD, PHD
Practice Location Address:

1301 20TH ST , SUITE 230
SANTA MONICA, CA
90404-2050

Practice Phone: 310-828-4411
Practice Fax: 310-828-2411

1952564304 — PHILIP M BRETSKY MD PHD
Practice Location Address:

1301 20TH ST , SUITE 230
SANTA MONICA, CA
90404-2050

Practice Phone: 310-828-4411
Practice Fax:

1427057959 — DR. JOHN LAWRENCE GARWOOD MD
Practice Location Address:

1301 20TH ST , SUITE 250
SANTA MONICA, CA
90404-2050

Practice Phone: 310-828-7494
Practice Fax: 310-315-0290

1437146453 — GJPL, INC.
Practice Location Address:

1301 20TH ST , SUITE 120
SANTA MONICA, CA
90404-2050

Practice Phone: 310-453-6553
Practice Fax: 310-828-5645

1083693766 — DR. PARVIZ D. AFSHANI M.D.
Practice Location Address:

1301 20TH ST , SUITE 280
SANTA MONICA, CA
90404-2050

Practice Phone: 310-829-6789
Practice Fax: 310-315-0195

1649259268 — DR. RICHARD F. CORLIN M.D.
Practice Location Address:

1301 20TH ST , SUITE 280
SANTA MONICA, CA
90404-2050

Practice Phone: 310-829-6789
Practice Fax: 310-935-3163

Directions to “ THOMAS KARL CIESLA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.