# CARNEY CHAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245963297
- **Authorized official:** ANDREA WARNKE (BILLING MANAGER)
- **Authorized official phone:** (805) 210-2219

## Contact information

- **Practice address:** 2220 LYNN RD STE 102, THOUSAND OAKS, CA 91360-8017
- **Practice address phone:** (805) 496-9727
- **Practice address fax:** (805) 496-9148
- **Mailing address:** 2220 LYNN RD STE 102, THOUSAND OAKS, CA 91360-8017
- **Mailing address phone:** (805) 496-9727
- **Mailing address fax:** (805) 496-9148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 305R00000X | Preferred Provider Organization | — | NULL | — |

## Other

- **Enumeration date:** 07/07/2022
- **Last updated:** 09/23/2022