# JEFFREY P. BLOCK M. D., APC

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

## Provider details

- **NPI number:** 1972803534
- **Authorized official:** JEFFREY P BLOCK M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (805) 496-6613

## Contact information

- **Practice address:** 2220 LYNN RD, 302, THOUSAND OAKS, CA 91360-1904
- **Practice address phone:** (805) 496-6613
- **Practice address fax:** (805) 496-8385
- **Mailing address:** 2220 LYNN RD, 302, THOUSAND OAKS, CA 91360-1904
- **Mailing address phone:** (805) 496-6613
- **Mailing address fax:** (805) 496-8385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | G36760 | CA | Yes |

## Other

- **Enumeration date:** 10/29/2010
- **Last updated:** 10/29/2010