AGOURA FAMILY PRACTICE ASSOCIATES
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1912960345- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3180 WILLOW LN 102, THOUSAND OAKS, CA, 913614900
- Phone
- (805) 494-8520
- Fax
- (805) 557-0196
Specialties & Taxonomies
Internal Medicine
License: CA #A67631
Family Medicine
Primary License: CA #G069473