# CONEJO MEDICAL & BEAST CARE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1922155191
- **Authorized official:** MAUREEN MALONE (FRONT OFFICE MANAGER)
- **Authorized official phone:** (805) 497-3239

## Contact information

- **Practice address:** 3180 WILLOW LN, 200, THOUSAND OAKS, CA 91361-4941
- **Practice address phone:** (805) 497-3239
- **Practice address fax:** (805) 497-3110
- **Mailing address:** 3180 WILLOW LN, 200, THOUSAND OAKS, CA 91361-4941
- **Mailing address phone:** (805) 497-3239
- **Mailing address fax:** (805) 497-3110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A63292 | CA | — |
| 207R00000X | Internal Medicine Physician | A41849 | CA | — |
| 207RG0100X | Gastroenterology Physician | G73949 | CA | — |
| 208600000X | Surgery Physician | A39905 | CA | — |
| 208D00000X | General Practice Physician | G50708 | CA | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 09/11/2025