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Organization
LOS ROBLES EMERGENCY PHYSICIANS MEDICAL GROUP
Active
Organization
LOS ROBLES EMERGENCY PHYSICIANS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S BENEDON M.D. (OWNER)
(805) 370-4435
Entity
Organization
Contact information
Practice address
215 W JANSS RD, THOUSAND OAKS, CA 91360-1847
(805) 370-4435
(805) 379-5579
Mailing address
PO BOX 920146, DALLAS, TX 75392-0146
(805) 370-4435
(805) 379-5579
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0064750
—
CA
Enumeration date
06/23/2006
Last updated
03/06/2023
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