NPI | 1376619262 |
---|---|
Other Name | CONEJO MEDICAL & BREAST CARE CENTER |
Entity Type | Organization |
Authorized Contact | MICHELE GHAUSSY COO/Practice Manager 805-990-4375 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA 174400000X) |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207RG0100X Internal Medicine, Gastroenterology | |
Enumeration Date | 2006-11-24 |
Last Update Date | 2024-02-13 |