| Sanjiv Goel, M.d., Inc. | |
|
2100 Lynn Rd Ste 205 Thousand Oaks CA 91360-8040 | |
| (805) 497-3585 | |
| (805) 497-1313 |
| Full Name | Sanjiv Goel, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2100 Lynn Rd Ste 205, Thousand Oaks, California |
| Authorized Official Name and Position | Sanjiv Goel (PRESIDENT / C.E.O.) |
| Authorized Official Contact | 8054973585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjiv Goel, M.d., Inc. 2100 Lynn Rd Ste 205 Thousand Oaks CA 91360-8040 Ph: (805) 497-3585 | Sanjiv Goel, M.d., Inc. 2100 Lynn Rd Ste 205 Thousand Oaks CA 91360-8040 Ph: (805) 497-3585 |
| NPI Number | 1568559557 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 7012804636 |
|---|---|
| Medicare Enrollment ID | O20040228000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568559557 | NPI | - | NPPES |
| 00A440630 | Other | CA | MEDICAL |
| Provider Name | Sanjiv Goel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700983707 PECOS PAC ID: 8921995549 Enrollment ID: I20040309000680 |
| Provider Name | Tammy R Pritchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104906312 PECOS PAC ID: 8729079744 Enrollment ID: I20040519001027 |
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