Organization
AGOURA FAMILY PRACTICE ASSOCIATES
Active
Parent organization
AGOURA FAMILY PRACTICE ASSOCIATES
Other names
Agoura Family Practice Medical Assoicates
Organization subpart
Yes
Provider details
NPI number
Legal business name
AGOURA FAMILY PRACTICE ASSOCIATES
Authorized official
BADER IQBAL M.D. (OWNER)
(805) 494-8520
Entity
Organization
Contact information
Practice address
3180 WILLOW LN, SUITE 102, THOUSAND OAKS, CA 91361-4941
(805) 494-8520
(888) 431-8819
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
(310) 943-4180
(888) 431-8819
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
G69473
CA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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