# CONEJO VALLEY ELECTROPHYSIOLOGY INC.

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

## Provider details

- **NPI number:** 1588084859
- **Authorized official:** CARLOS MOURA ALVES MD (PRESIDENT)
- **Authorized official phone:** (805) 768-4198

## Contact information

- **Practice address:** 2220 LYNN RD, SUITE 203, THOUSAND OAKS, CA 91360-1904
- **Practice address phone:** (805) 768-4198
- **Practice address fax:** (877) 794-1288
- **Mailing address:** 501 S REINO RD STE I, SUITE 391, NEWBURY PARK, CA 91320-4270
- **Mailing address phone:** (805) 768-4198
- **Mailing address fax:** (877) 794-1288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | C54056 | CA | Yes |

## Other

- **Enumeration date:** 04/24/2014
- **Last updated:** 04/24/2014