Individual
SIMON MALTAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
227 W JANSS RD STE 340, THOUSAND OAKS, CA 91360-1879
(805) 852-9100
(805) 852-9101
Mailing address
227 W JANSS RD STE 340, THOUSAND OAKS, CA 91360-1879
(805) 852-9100
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
MD47528
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
53401
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
65433
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD47528
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
07/27/2010
Last updated
05/20/2025
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