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Organization

ALLIANCE HOSPITALIST MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEOFFREY LEE GRAHAM MD (PRESIDENT)
(805) 497-1810
Entity
Organization

Contact information

Practice address
215 W JANSS RD, THOUSAND OAKS, CA 91360-1847
(805) 497-1800
Mailing address
1534 N MOORPARK RD # 291, THOUSAND OAKS, CA 91360-5129
(805) 497-1810
(805) 523-7339

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G39820
CA
208M00000X
Hospitalist Physician
Primary
G39820
CA

Other

Enumeration date
09/21/2006
Last updated
10/12/2017
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