| Summit Health Group Inc | |
|
55 Rolling Oaks Dr Ste 100 Thousand Oaks CA 91361-1010 | |
| (805) 499-4446 | |
| (805) 499-3636 |
| Full Name | Summit Health Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 55 Rolling Oaks Dr, Thousand Oaks, California |
| Authorized Official Name and Position | Dannelle Mcdermott (ADMINISTRATOR) |
| Authorized Official Contact | 8054994446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Health Group Inc 55 Rolling Oaks Dr Ste 100 Thousand Oaks CA 91361-1010 Ph: (805) 499-4446 | Summit Health Group Inc 55 Rolling Oaks Dr Ste 100 Thousand Oaks CA 91361-1010 Ph: (805) 499-4446 |
| NPI Number | 1497125868 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 09/08/2016 |
| Medicare PECOS PAC ID | 4587967575 |
|---|---|
| Medicare Enrollment ID | O20160126000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497125868 | NPI | - | NPPES |
| Provider Name | Shay Shani |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467511220 PECOS PAC ID: 2365339397 Enrollment ID: I20040303000547 |
| Provider Name | Donnelly R Wilkes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033111836 PECOS PAC ID: 2062564933 Enrollment ID: I20090723000730 |
| Provider Name | Munira Husain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184856460 PECOS PAC ID: 9537337357 Enrollment ID: I20110722000144 |
| Provider Name | Joseph Lawrence Lennon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477588895 PECOS PAC ID: 6204971351 Enrollment ID: I20150610002416 |
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