Organization
CONEJO CHILDRENS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA PACHOREK M.D. (PRESIDENT)
(805) 577-0216
Entity
Organization
Contact information
Practice address
558 N VENTU PARK RD STE D, NEWBURY PARK, CA 91320-2755
(805) 577-0216
Mailing address
558 N VENTU PARK RD STE D, NEWBURY PARK, CA 91320-2755
(805) 577-0216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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