CONEJO MEDICAL AND BREAST CARE CENTER A MEDICAL CORPORATION NPI 1376619262

NPI Information

  • NPI: 1376619262
  • Provider Name: CONEJO MEDICAL AND BREAST CARE CENTER A MEDICAL CORPORATION
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Other Name: CONEJO MEDICAL & BREAST CARE CENTER
  • Address: 3180 WILLOW LN STE 212
    THOUSAND OAKS, CA
    ZIP 91361
  • Phone: (805) 497-3239

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NPI Details

CONEJO MEDICAL AND BREAST CARE CENTER A MEDICAL CORPORATION is a specialist in Thousand Oaks, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CONEJO MEDICAL AND BREAST CARE CENTER A MEDICAL CORPORATION NPI is 1376619262. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Conejo Medical & Breast Care Center.

The provider's business location address is:

3180 WILLOW LN STE 212
THOUSAND OAKS, CA
ZIP 91361-990
Phone: (805) 497-3239
Fax: (805) 497-3110

The provider's authorized official is Michele Ghaussy .
The authorized official title is Coo/practice Manager and has the following contact phone number (805) 990-4375.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 2/13/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RG0100XInternal MedicineGastroenterologyNo
4174400000XSpecialist174400000XCALIFORNIAYes

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: 11/21/2025

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