Organization
JEFFREY L SYCAMORE MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY L. SYCAMORE M.D. (OWNER)
(310) 471-5852
Entity
Organization
Contact information
Practice address
215 W JANSS RD, THOUSAND OAKS, CA 91360-1847
(805) 370-4521
Mailing address
1633 ERRINGER RD, 1ST FLOOR, SIMI VALLEY, CA 93065-3583
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C36327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0052480
—
CA
05
—
GR0052481
—
CA
Enumeration date
08/10/2006
Last updated
11/17/2008
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