Organization
CONEJO DERMATOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH M KAMELL MD (MANAGING PARTNER)
(805) 497-7529
Entity
Organization
Contact information
Practice address
55 ROLLING OAKS DR # 200, THOUSAND OAKS, CA 91361-1010
(805) 497-7529
(805) 494-3486
Mailing address
55 ROLLING OAKS DR, THOUSAND OAKS, CA 91361-1010
(805) 497-7529
(805) 494-3486
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
01/11/2018
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