Organization
VIGILANCE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M COBURN MD (PRESIDENT)
(805) 823-0981
Entity
Organization
Contact information
Practice address
555 SAINT CHARLES DR STE 230, THOUSAND OAKS, CA 91360-3990
(805) 823-0981
Mailing address
555 SAINT CHARLES DR STE 230, THOUSAND OAKS, CA 91360-3990
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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