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Individual

MUNIRA HUSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
620 E JANSS RD, THOUSAND OAKS URGENT CARE, THOUSAND OAKS, CA 91360
(805) 495-6866
Mailing address
1710 N MOORPARK RD, THOUSAND OAKS, CA 91360-5133
(805) 405-4242

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A101214
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A101214
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A101214
THE MEDICAL BAORD OF CA
CA
Enumeration date
08/20/2009
Last updated
08/20/2009
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