Organization
CONEJO MEDICAL AND BREAST CARE CENTER A MEDICAL CORPORATION
Active
Other names
Conejo Medical & Breast Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GHAUSSY MD (COO/PRACTICE MANAGER)
(805) 990-4375
Entity
Organization
Contact information
Practice address
3180 WILLOW LN STE 212, THOUSAND OAKS, CA 91361-4990
(805) 497-3239
(805) 497-3110
Mailing address
3180 WILLOW LN STE 212, THOUSAND OAKS, CA 91361-4990
(805) 497-3239
(805) 497-3110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
174400000X
CA
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Enumeration date
11/24/2006
Last updated
02/13/2024
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