Jamila Diabetes & Endocrine Medical Center, Inc. | |
1429 E Thousand Oaks Blvd Thousand Oaks CA 91362 | |
(805) 495-7143 | |
(805) 495-7124 |
Full Name | Jamila Diabetes & Endocrine Medical Center, Inc. |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 1429 E Thousand Oaks Blvd, Thousand Oaks, California |
Authorized Official Name and Position | Sarfraz J Zaidi (PRESIDENT) |
Authorized Official Contact | 8054957143 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jamila Diabetes & Endocrine Medical Center, Inc. 6988 Calle Dia Camarillo CA 93012-8283 Ph: (805) 495-7143 | Jamila Diabetes & Endocrine Medical Center, Inc. 1429 E Thousand Oaks Blvd Thousand Oaks CA 91362 Ph: (805) 495-7143 |
NPI Number | 1205946985 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 01/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205946985 | NPI | - | NPPES |
ZZZ05226Z | Other | BLUE SHIELD | |
00A450050 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A45005 (California) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A45005 (California) | Primary |
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