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Organization
PACIFIC PALMS INTERNAL MEDICINE, P.C.
Active
Organization
PACIFIC PALMS INTERNAL MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT MONGA (CEO)
(805) 795-3934
Entity
Organization
Contact information
Practice address
2530 RENATA CT, THOUSAND OAKS, CA 91362-4918
(805) 795-3934
Mailing address
2530 RENATA CT, THOUSAND OAKS, CA 91362-4918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C129345
CA
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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