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LOS ROBLES EMERGENCY PHYSICIANS MEDICAL GROUP NPI 1417983552


NPI Information

NPI: 1417983552
Provider Name: LOS ROBLES EMERGENCY PHYSICIANS MEDICAL GROUP
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
215 W JANSS RD
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 370-4435
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LOS ROBLES EMERGENCY PHYSICIANS MEDICAL GROUP is an emergency medicine in Thousand Oaks, CA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. LOS ROBLES EMERGENCY PHYSICIANS MEDICAL GROUP NPI is 1417983552. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

215 W JANSS RD
THOUSAND OAKS, CA
ZIP 91360-847
Phone: (805) 370-4435
Fax: (805) 379-5579

The provider's authorized official is Richard S Benedon .
The authorized official title is Owner and has the following contact phone number (805) 370-4435.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 4/20/2008.


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
1207P00000XEmergency Medicine=========CALIFORNIAYes

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
1GR0064750MEDICAIDCALIFORNIA
2HW13461MEDICARE PINCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.