Individual
MICHELE A GHAUSSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
365 SCARBOROUGH ST, THOUSAND OAKS, CA 91361-1346
(805) 277-0789
Mailing address
PO BOX 1086, THOUSAND OAKS, CA 91358-0086
(805) 990-4375
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
G50708
CA
Other
Enumeration date
07/29/2005
Last updated
09/04/2024
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