| Agoura Family Practice Associates | |
|
3180 Willow Ln 102 Thousand Oaks CA 91361-4900 | |
| (805) 494-8520 | |
| (805) 557-0196 |
| Full Name | Agoura Family Practice Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 3180 Willow Ln, Thousand Oaks, California |
| Authorized Official Name and Position | Bader Iqbal (OWNER PARTNER) |
| Authorized Official Contact | 8054948520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agoura Family Practice Associates 3180 Willow Ln #102 Thousand Oaks CA 91361-4900 Ph: (805) 494-8520 | Agoura Family Practice Associates 3180 Willow Ln 102 Thousand Oaks CA 91361-4900 Ph: (805) 494-8520 |
| NPI Number | 1912960345 |
|---|---|
| Provider Enumeration Date | 04/07/2006 |
| Last Update Date | 06/25/2009 |
| Medicare PECOS PAC ID | 7214087949 |
|---|---|
| Medicare Enrollment ID | O20090618000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912960345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G069473 (California) | Primary |
| 207R00000X | Internal Medicine | A67631 (California) | Secondary |
| Provider Name | Bader Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346254364 PECOS PAC ID: 2860542594 Enrollment ID: I20090618000063 |
| Provider Name | Zoya Furman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083635205 PECOS PAC ID: 4789829532 Enrollment ID: I20130326000524 |
| Provider Name | Aamir Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174054019 PECOS PAC ID: 9436403300 Enrollment ID: I20191215000021 |
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