| Thomas Conklin | |
|
18417 Nordhoff St Suite 8 Northridge CA 91325-2200 | |
| (310) 348-0500 | |
| Not Available |
| Full Name | Thomas Conklin |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 18417 Nordhoff St, Northridge, California |
| Authorized Official Name and Position | Steven Garrett (BILLING MANAGER) |
| Authorized Official Contact | 3103480500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Conklin 18417 Nordhoff St Suite 8 Northridge CA 91325-2200 Ph: () - | Thomas Conklin 18417 Nordhoff St Suite 8 Northridge CA 91325-2200 Ph: (310) 348-0500 |
| NPI Number | 1497878706 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497878706 | NPI | - | NPPES |
| 00G444850 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | G44486 (California) | Primary |
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