MEDICARE: THOMAS PAOLINI

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1982584207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS PAOLINI

Provider Business Mailing Address
First Line	:	2201 S BEVERLY GLEN BLVD APT 104
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2496
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1860 S ORANGE GROVE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-5049
Country	:	US
Telephone Number	:	323-297-3001
Fax Number	:

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

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	02/12/2026

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Directions to “ THOMAS PAOLINI ” Practice Location

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