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:
Health care specialties
Specialty | Code | License # | 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 2 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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