Organization
COMMUNITY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD SIEGEL MD (PRESIDENT)
(818) 707-9603
Entity
Organization
Contact information
Practice address
612 E JANSS ROAD, THOUSAND OAKS, CA 91360
(805) 373-0725
(805) 373-0574
Mailing address
30125 AGOURA RD, SUITE 200, AGOURA HILLS, CA 91301-4337
(818) 707-9603
(818) 707-1276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
09/11/2025
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