Organization
AGOURA FAMILY PRACTICE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BADER IQBAL MD (OWNER PARTNER)
(805) 494-8520
Entity
Organization
Contact information
Practice address
3180 WILLOW LN, 102, THOUSAND OAKS, CA 91361-4900
(805) 494-8520
(805) 557-0196
Mailing address
3180 WILLOW LN, #102, THOUSAND OAKS, CA 91361-4900
(805) 494-8520
(805) 557-0196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G069473
CA
207R00000X
Internal Medicine Physician
A67631
CA
Other
Enumeration date
04/07/2006
Last updated
06/25/2009
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