Individual
MRS. ASMA BENT TAOUF SOUISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 E HILLCREST DR, STE 102, THOUSAND OAKS, CA 91360
(805) 497-3575
Mailing address
7021 ALDUS DRIVE, UNIT 103, GOLETA, CA 93117
(805) 696-3506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C176160
CA
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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