Individual
MARIA FELICITAS M DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
365 E HILLCREST DR, THOUSAND OAKS, CA 91360-5820
(818) 719-2252
Mailing address
7373 WEST LN, STE 350, STOCKTON, CA 95210-3377
(818) 592-2400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A101526
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A101526
CA
Other
Enumeration date
11/23/2008
Last updated
02/11/2022
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