Organization · Type 2 NPI

Agoura Family Practice Associates

Non-Pharmacy Dispensing Site · Thousand Oaks, CA

NPI number 1174995518 Active

Practice location

3180 Willow Ln, Suite 102
Thousand Oaks, CA 91361-4941

Call (805) 494-8520 Map

Fax (888) 431-8819

Mailing address

2980 N Beverly Glen Cir, Suite 100
Los Angeles, CA 90077-1726

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	G69473 (CA)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

21 other providers at this address

Other non-pharmacy dispensing site providers in Thousand Oaks

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NPI record

NPI: 1174995518
Entity type: Organization (Type 2)
Issued: Oct 26, 2015
Last updated: Oct 26, 2015
Status: Active
Subpart: Yes of Agoura Family Practice Associates

Other names

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Agoura Family Practice Medical Assoicates · doing business as

Authorized official

Bader Iqbal, MD
Owner
(805) 494-8520

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174995518

Agoura Family Practice Associates's National Provider Identifier is 1174995518, issued on Oct 26, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Thousand Oaks, CA. The record was last updated on Oct 26, 2015.