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Organization
CONEJO NEUROLOGICAL MEDICAL GROUP, INC.
Active
Organization
CONEJO NEUROLOGICAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHIH CHIU SR. M.D. (CEO PRESIDENT)
(805) 375-7900
Entity
Organization
Contact information
Practice address
1001 NEWBURY RD, NEWBURY PARK, CA 91320-6434
(805) 375-7900
Mailing address
1001 NEWBURY RD, NEWBURY PARK, CA 91320-6434
(805) 375-7900
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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