Individual provider · Type 1 NPI
Thomas E. Conklin, MD
Adult Medicine Physician · Northridge, CA
NPI number
1124066436
Active
Practice location
18417 Nordhoff St, SUITE# B
Northridge, CA 91325-2200
Fax (818) 701-5360
Mailing address
2650 Santa Ynez Ave
Simi Valley, CA 93063-2387
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 156153 (MA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
2 other providers at this address
Other adult medicine physician providers in Northridge
About NPI 1124066436
Thomas E. Conklin, MD's National Provider Identifier is 1124066436, issued on Jun 2, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Northridge, CA. The record was last updated on Feb 11, 2015.