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SEAN CONDON MD NPI 1144663683


NPI Information

NPI: 1144663683
Provider Name: SEAN CONDON, MD
Classification: Dermatology - 207ND0101X
Entity Type: Individual

Specialization: MOHS-Micrographic Surgery

Organization: ANDREW J KAUFMAN MD A MEDICAL CORPORATION

PECOS Registration: Yes

Address:
267 W HILLCREST DR
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 497-1694
Get Directions

Sean Condon, MD is a mohs-micrographic surgery dermatology in Thousand Oaks, CA with 11 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. Sean Condon, MD NPI is 1144663683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

267 W HILLCREST DR
THOUSAND OAKS, CA
ZIP 91360-211
Phone: (805) 497-1694

The NPI 1144663683 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/15/2013 and was last updated on 7/23/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyA154637CALIFORNIANo
2207ND0101XDermatologyMOHS-Micrographic SurgeryA154637CALIFORNIAYes
3390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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