Organization
CONEJO MEDICAL & BEAST CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN MALONE (FRONT OFFICE MANAGER)
(805) 497-3239
Entity
Organization
Contact information
Practice address
3180 WILLOW LN, 200, THOUSAND OAKS, CA 91361-4941
(805) 497-3239
(805) 497-3110
Mailing address
3180 WILLOW LN, 200, THOUSAND OAKS, CA 91361-4941
(805) 497-3239
(805) 497-3110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A63292
CA
207R00000X
Internal Medicine Physician
A41849
CA
207RG0100X
Gastroenterology Physician
G73949
CA
208600000X
Surgery Physician
A39905
CA
208D00000X
General Practice Physician
Primary
G50708
CA
Other
Enumeration date
01/03/2007
Last updated
09/11/2025
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