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AGOURA FAMILY PRACTICE ASSOCIATES NPI 1174995518


NPI Information

NPI: 1174995518
Provider Name: AGOURA FAMILY PRACTICE ASSOCIATES

Doing Business As: AGOURA FAMILY PRACTICE MEDICAL ASSOICATES

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
3180 WILLOW LN
SUITE 102
THOUSAND OAKS, CA
ZIP 91361
Phone: (805) 494-8520
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AGOURA FAMILY PRACTICE ASSOCIATES is a non pharmacy dispensing site in Thousand Oaks, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) AGOURA FAMILY PRACTICE ASSOCIATES NPI is 1174995518. The provider is registered as an organization entity type.
The provider Is Doing Business As Agoura Family Practice Medical Assoicates.

The provider's business location address is:

3180 WILLOW LN
SUITE 102
THOUSAND OAKS, CA
ZIP 91361-941
Phone: (805) 494-8520
Fax: (888) 431-8819

The provider's authorized official is Bader Iqbal .
The authorized official title is Owner and has the following contact phone number (805) 494-8520.

The enumeration date for this NPI number is 10/26/2015 and was last updated on 10/26/2015.


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
1332900000XNon-Pharmacy Dispensing SiteG69473CALIFORNIAYes

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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