Memory Health Mds Pc

LBN: Memory Health Mds Pc
Memory Health Mds Pc is an health care organization with primary practice located at 3302 Woodley Ave , Thousand Oaks CA 91362-1170. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Memory Health Mds Pc can be contacted via phone (805) 627-4002, or through Ellis, Preetivi via phone (310) 880-0745.

Contact Information

Primary practice address
3302 Woodley Ave Thousand Oaks CA 91362-1170
Phone: (805) 627-4002
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Preetivi Doctor of Medicine (MD)
Phone: (310) 880-0745

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X

Profile Details

NPI number 1174263719
LBN Legal business name Memory Health Mds Pc
DBA Doing business as
Authorized official Ellis, Preetivi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2022
Last updated Mar 31st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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