AGOURA FAMILY PRACTICE ASSOCIATES NPI 1912960345

NPI Information

AGOURA FAMILY PRACTICE ASSOCIATES is a family medicine in Thousand Oaks, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AGOURA FAMILY PRACTICE ASSOCIATES NPI is 1912960345. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3180 WILLOW LN
102
THOUSAND OAKS, CA
ZIP 91361-900
Phone: (805) 494-8520
Fax: (805) 557-0196

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

The CLIA number assigned to this NPI record is 05D0557238 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 6/25/2009.

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:

Other Identifiers

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