MEDICARE: LOWELL P THEARD MD INC

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	207R00000X	Internal Medicine Physician	G37108	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023065992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOWELL P THEARD MD INC

Provider Business Mailing Address
First Line	:	4206 DON TAPIA PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-4236
Country	:	US
Telephone Number	:	310-838-6801
Fax Number	:	310-838-5385

Provider Business Practice Location Address
First Line	:	3831 HUGHES AVE
Second Line	:	705
City	:	CULVER CITY
State	:	CA
Zip	:	90232-2751
Country	:	US
Telephone Number	:	310-838-6801
Fax Number	:	310-838-5385

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LOWELL P THEARD
Credential	:	MD
Telephone Number	:	310-838-6801

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	09/27/2013

Similar Medicare Providers

1942209242 — OPTC WESTSIDE INC
Practice Location Address:

3831 HUGHES AVE , STE 104
CULVER CITY, CA
90232-2751

Practice Phone: 310-837-9700
Practice Fax: 310-837-9701

1639153786 — DR. ELLIOT GROSS M.D.
Practice Location Address:

3831 HUGHES AVE , #509
CULVER CITY, CA
90232-2751

Practice Phone: 310-559-4833
Practice Fax: 310-558-0624

1033188438 — OPTC WESTSIDE, INC
Practice Location Address:

10190 CULVER BLVD
CULVER CITY, CA
90232-2751

Practice Phone: 310-837-9700
Practice Fax: 310-837-9701

1629019468 — ROBERT M TRICHTER M.D.
Practice Location Address:

3831 HUGHES AVE , #506
CULVER CITY, CA
90232-2751

Practice Phone: 310-280-9670
Practice Fax: 310-280-9675

1316980535 — RENA KEYNIGSHTEYN M.D.
Practice Location Address:

3831 HUGHES AVE , SUITE 602
CULVER CITY, CA
90232-2751

Practice Phone: 310-204-6897
Practice Fax: 310-204-4690

1265467575 — THEODAWN BROWN PA-C
Practice Location Address:

3831 HUGHES AVE , SUITE 705
CULVER CITY, CA
90232-2751

Practice Phone: 213-253-2677
Practice Fax: 213-253-5082

Directions to “LOWELL P THEARD MD INC ” 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.