# LOS ROBLES CPSP

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

## Provider details

- **NPI number:** 1265552301
- **Authorized official:** JEFFREY P BLOCK M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (805) 496-6613

## Contact information

- **Practice address:** 2220 LYNN RD STE 107B, THOUSAND OAKS, CA 91360-8014
- **Practice address phone:** (805) 373-5707
- **Practice address fax:** (805) 375-0711
- **Mailing address:** 1534 N MOORPARK RD STE 116, THOUSAND OAKS, CA 91360-5129
- **Mailing address phone:** (805) 373-5707
- **Mailing address fax:** (805) 495-0711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | GR0064740 | CA | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0064740 | — | CA |