Individual
CASEY GRANT BATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 RANCHO CONEJO BLVD, THOUSAND OAKS, CA 91320-1718
(310) 665-7200
(888) 835-0943
Mailing address
2222 BANCROFT WAY, BERKELEY, CA 94720-4300
(510) 643-5808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD40312
TN
207Q00000X
Family Medicine Physician
A96253
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A96253
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3336942
—
TN
01
—
4115091
BCBS OF TENNESSEE
TN
Enumeration date
06/10/2006
Last updated
12/01/2017
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