Organization
ANDREW CANNON, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CANNON M.D. (PRESIDENT)
(805) 578-8300
Entity
Organization
Contact information
Practice address
215 W JANSS RD, THOUSAND OAKS, CA 91360-1847
(805) 578-8300
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A112567
CA
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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