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Organization

AGOURA HILLS HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG STEVEN DOCKENDORF (CFO)
(818) 640-5448
Entity
Organization

Contact information

Practice address
29525 CANWOOD ST STE 306, AGOURA HILLS, CA 91301-4232
(818) 640-5448
Mailing address
25643 MONTE NIDO DR, CALABASAS, CA 91302-2226
(818) 640-5448

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
04/10/2014
Last updated
04/18/2014
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