| Kingsley Clinic Of California, Pc | |
|
275 E Hillcrest Dr Ste 160 Thousand Oaks CA 91360-7772 | |
| (530) 305-7637 | |
| (805) 254-0404 |
| Full Name | Kingsley Clinic Of California, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 275 E Hillcrest Dr Ste 160, Thousand Oaks, California |
| Authorized Official Name and Position | James Kingsley (OWNER) |
| Authorized Official Contact | 8056084001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingsley Clinic Of California, Pc 33471 Biltmore Dr Temecula CA 92592-1849 Ph: (530) 305-7637 | Kingsley Clinic Of California, Pc 275 E Hillcrest Dr Ste 160 Thousand Oaks CA 91360-7772 Ph: (530) 305-7637 |
| NPI Number | 1053919332 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 01/31/2024 |
| Medicare PECOS PAC ID | 7810305315 |
|---|---|
| Medicare Enrollment ID | O20210422000963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053919332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | James Kingsley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841687142 PECOS PAC ID: 8325316326 Enrollment ID: I20210422001082 |
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