Conejo Oaks Medical Group Inc | |
2100 Lynn Rd Ste 215 Thousand Oaks CA 91360-8038 | |
(805) 497-4974 | |
(805) 496-7636 |
Full Name | Conejo Oaks Medical Group Inc |
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Speciality | Family Medicine |
Location | 2100 Lynn Rd Ste 215, Thousand Oaks, California |
Authorized Official Name and Position | Francis M. Dawson (PROVIDER) |
Authorized Official Contact | 8054974974 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Conejo Oaks Medical Group Inc 2100 Lynn Rd Ste 215 Thousand Oaks CA 91360-8038 Ph: (805) 497-4974 | Conejo Oaks Medical Group Inc 2100 Lynn Rd Ste 215 Thousand Oaks CA 91360-8038 Ph: (805) 497-4974 |
NPI Number | 1477640464 |
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Provider Enumeration Date | 10/10/2006 |
Last Update Date | 06/21/2018 |
Medicare PECOS PAC ID | 7517981731 |
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Medicare Enrollment ID | O20060113000941 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477640464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G33376 (California) | Secondary |
207Q00000X | Family Medicine | G32734 (California) | Primary |
Provider Name | Francis M Dawson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043390883 PECOS PAC ID: 2062436280 Enrollment ID: I20120130000691 |
Provider Name | Paul C Reisser |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306926142 PECOS PAC ID: 1355501941 Enrollment ID: I20120319000388 |
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