Individual
SEAN CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 W HILLCREST DR, THOUSAND OAKS, CA 91360-4211
(805) 497-1694
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A154637
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A154637
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2013
Last updated
07/23/2019
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