Organization
JACOB & HENEIN A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERIF GABRIEL HENEIN M.D. (VICE PRESIDENT)
(805) 373-5864
Entity
Organization
Contact information
Practice address
2230 LYNN RD, SUITE 230, THOUSAND OAKS, CA 91360-1901
(805) 373-5864
(805) 277-9740
Mailing address
PO BOX 7629, WESTLAKE VILLAGE, CA 91359-7629
(805) 373-5864
(805) 277-9740
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
05/05/2015
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