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Individual

DR. ALAN C MINTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2190 LYNN RD, STE 320, THOUSAND OAKS, CA 91360-8026
(805) 279-8040
Mailing address
909 CUYAMA RD, OJAI, CA 93023-2419
(805) 279-8040

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G96431
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G694312
CA
Enumeration date
06/09/2006
Last updated
11/01/2021
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