| Conejo Valley Multispecialty Medical Group | |
|
227 W Janss Rd Suite 110 Thousand Oaks CA 91360-1848 | |
| (805) 496-6051 | |
| (805) 496-6785 |
| Full Name | Conejo Valley Multispecialty Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 227 W Janss Rd, Thousand Oaks, California |
| Authorized Official Name and Position | Jigar Ghelani (PARTNER) |
| Authorized Official Contact | 8054966051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conejo Valley Multispecialty Medical Group 227 W Janss Rd Suite 110 Thousand Oaks CA 91360-1848 Ph: (805) 496-6051 | Conejo Valley Multispecialty Medical Group 227 W Janss Rd Suite 110 Thousand Oaks CA 91360-1848 Ph: (805) 496-6051 |
| NPI Number | 1699179762 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699179762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A93280 (California) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | A23840 (California) | Secondary |
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