Organization
CARNEY CHAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA WARNKE (BILLING MANAGER)
(805) 210-2219
Entity
Organization
Contact information
Practice address
2220 LYNN RD STE 102, THOUSAND OAKS, CA 91360-8017
(805) 496-9727
(805) 496-9148
Mailing address
2220 LYNN RD STE 102, THOUSAND OAKS, CA 91360-8017
(805) 496-9727
(805) 496-9148
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
07/07/2022
Last updated
09/23/2022
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