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Organization
OAK TREE PEDIATRICS AND MORE, A MEDICAL CORPORATION
Active
Organization
OAK TREE PEDIATRICS AND MORE, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL THOMAS SPADARO MD (PRESIDENT)
(805) 493-1964
Entity
Organization
Contact information
Practice address
430 AVENIDA DE LOS ARBOLES STE 201, THOUSAND OAKS, CA 91360-3017
(805) 493-1964
(805) 241-5382
Mailing address
430 AVENIDA DE LOS ARBOLES STE 201, THOUSAND OAKS, CA 91360-3017
(805) 493-1964
(805) 241-5382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A80637
CA
208000000X
Pediatrics Physician
Primary
G53744
CA
208000000X
Pediatrics Physician
G57371
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
G55882
CA
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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