Organization
CONEJO NEUROLOGICAL MEDICAL GROUP, INC.
Active
Organization
CONEJO NEUROLOGICAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHIH CHIU SR. M.D. (CEO/PRESIDENT)
(805) 375-7900
Entity
Organization
Contact information
Practice address
1001 NEWBURY RD, #100, THOUSAND OAKS, CA 91320-6434
(805) 375-7900
(805) 375-7975
Mailing address
1001 NEWBURY RD, #100, THOUSAND OAKS, CA 91320-6434
(805) 375-7900
(805) 375-7975
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C31784
CA
Other
Enumeration date
09/07/2006
Last updated
08/22/2020
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