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LOS ROBLES CPSP NPI 1265552301


NPI Information

NPI: 1265552301
Provider Name: LOS ROBLES CPSP
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
2220 LYNN RD STE 107B
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 373-5707
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LOS ROBLES CPSP is an obstetrics obstetrics gynecology in Thousand Oaks, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee LOS ROBLES CPSP NPI is 1265552301. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2220 LYNN RD STE 107B
THOUSAND OAKS, CA
ZIP 91360-014
Phone: (805) 373-5707
Fax: (805) 375-0711

The provider's authorized official is Jeffrey P Block .
The authorized official title is Medical Director and has the following contact phone number (805) 496-6613.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.


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
1207VX0000XObstetrics & GynecologyObstetricsGR0064740CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0064740MEDICAIDCALIFORNIA

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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