# THOMAS CONKLIN

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

## Provider details

- **NPI number:** 1497878706
- **Authorized official:** STEVEN GARRETT M.D. (BILLING MANAGER)
- **Authorized official phone:** (310) 348-0500

## Contact information

- **Practice address:** 18417 NORDHOFF ST, SUITE 8, NORTHRIDGE, CA 91325-2200
- **Practice address phone:** (310) 348-0500
- **Mailing address:** 18417 NORDHOFF ST, SUITE 8, NORTHRIDGE, CA 91325-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | G44486 | CA | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020