| Conejo Medical And Breast Care Center A Medical Corporation | |
|
3180 Willow Ln Ste 212 Thousand Oaks CA 91361-4990 | |
| (805) 497-3239 | |
| (805) 497-3110 |
| Full Name | Conejo Medical And Breast Care Center A Medical Corporation |
|---|---|
| Speciality | Specialist |
| Location | 3180 Willow Ln Ste 212, Thousand Oaks, California |
| Authorized Official Name and Position | Michele Ghaussy (COO/PRACTICE MANAGER) |
| Authorized Official Contact | 8059904375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conejo Medical And Breast Care Center A Medical Corporation 3180 Willow Ln Ste 212 Thousand Oaks CA 91361-4990 Ph: (805) 497-3239 | Conejo Medical And Breast Care Center A Medical Corporation 3180 Willow Ln Ste 212 Thousand Oaks CA 91361-4990 Ph: (805) 497-3239 |
| NPI Number | 1376619262 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 02/13/2024 |
| Medicare PECOS PAC ID | 1951355064 |
|---|---|
| Medicare Enrollment ID | O20050310000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376619262 | NPI | - | NPPES |
| Provider Name | Rosemary Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871593095 PECOS PAC ID: 1456252543 Enrollment ID: I20040120001093 |
| Provider Name | Rahmat U Ghaussy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053311274 PECOS PAC ID: 9537056197 Enrollment ID: I20050404000555 |
| Provider Name | Sima Yaftali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629078845 PECOS PAC ID: 1052368081 Enrollment ID: I20050404000591 |
| Provider Name | Niloufar Guiv |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124028345 PECOS PAC ID: 6204874514 Enrollment ID: I20050418001298 |
| Provider Name | Tami J Simard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467743864 PECOS PAC ID: 1557625381 Enrollment ID: I20180503000445 |
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