# CSE MEDICAL GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CONEJO SIMI EYE MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215979844
- **Authorized official:** STEVEN CORWIN M.D. (PRESIDENT)
- **Authorized official phone:** (805) 497-3744

## Contact information

- **Practice address:** 351 ROLLING OAKS DR STE 102, THOUSAND OAKS, CA 91361-1279
- **Practice address phone:** (805) 497-3744
- **Practice address fax:** (805) 497-1663
- **Mailing address:** 351 ROLLING OAKS DR, 102, THOUSAND OAKS, CA 91361-1275
- **Mailing address phone:** (805) 497-3744
- **Mailing address fax:** (805) 497-1663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 03/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DD1437 | RAILROAD MEDICARE | CA |
