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Organization

CONEJO NEPHROLOGY & MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD K LESSMAN M.D. (PHYSICIAN)
(805) 496-6051
Entity
Organization

Contact information

Practice address
227 W JANSS RD, SUITE 110, THOUSAND OAKS, CA 91360-1848
(805) 496-6051
(805) 495-6785
Mailing address
227 W JANSS RD, SUITE 110, THOUSAND OAKS, CA 91360-1848
(805) 496-6051
(805) 495-6785

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0004840
CA
Enumeration date
12/06/2006
Last updated
08/22/2020
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