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Contact Information

AGOURA FAMILY PRACTICE ASSOCIATES
3180 WILLOW LN
SUITE 102
THOUSAND OAKS, CA91361-4941
 Phone: 805-494-8520
 Fax: 888-431-8819
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for AGOURA FAMILY PRACTICE ASSOCIATES

NPI Number 1174995518
LBN Legal business name AGOURA FAMILY PRACTICE ASSOCIATES
Authorized official BADER IQBAL - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/26/2015
Last updated 10/26/2015 - About 11 years ago
Identifiers
CA License # G69473
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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