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OAK TREE PEDIATRICS AND MORE A MEDICAL CORPORATION NPI 1689846297


NPI Information

NPI: 1689846297
Provider Name: OAK TREE PEDIATRICS AND MORE, A MEDICAL CORPORATION
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D1081585

Address:
430 AVENIDA DE LOS ARBOLES STE 201
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 493-1964
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OAK TREE PEDIATRICS AND MORE, A MEDICAL CORPORATION is a pediatrics in Thousand Oaks, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. OAK TREE PEDIATRICS AND MORE, A MEDICAL CORPORATION NPI is 1689846297. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

430 AVENIDA DE LOS ARBOLES STE 201
THOUSAND OAKS, CA
ZIP 91360-017
Phone: (805) 493-1964
Fax: (805) 241-5382

The provider's authorized official is Russell Thomas Spadaro .
The authorized official title is President and has the following contact phone number (805) 493-1964.

The CLIA number assigned to this NPI record is 05D1081585 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2008 and was last updated on 3/24/2008.


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
1207Q00000XFamily MedicineA80637CALIFORNIANo
2208000000XPediatricsG57371CALIFORNIANo
32080P0006XPediatricsDevelopmental - Behavioral PediatricsG55882CALIFORNIANo
4208000000XPediatricsG53744CALIFORNIAYes

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: 4/28/2024

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