| Community Medical Group Inc | |
|
612 E Janss Road Thousand Oaks CA 91360 | |
| (805) 373-0725 | |
| (805) 373-0574 |
| Full Name | Community Medical Group Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 612 E Janss Road, Thousand Oaks, California |
| Authorized Official Name and Position | Bernard Siegel (PRESIDENT) |
| Authorized Official Contact | 8187079603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Group Inc 30125 Agoura Rd Suite 200 Agoura Hills CA 91301-4337 Ph: (818) 707-9603 | Community Medical Group Inc 612 E Janss Road Thousand Oaks CA 91360 Ph: (805) 373-0725 |
| NPI Number | 1053489146 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053489146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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