Los Robles Pediatric Medical Group, Inc.
NPI #1013919208 in Thousand Oaks, California
Provider Information
- NPI Number
- 1013919208
- Entity Type
- Organization
- Organization Name
- Los Robles Pediatric Medical Group, Inc.
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jun 1, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 299 W HILLCREST DR
- Address 2
- STE 100
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91360-7820
- Phone
- (805) 497-7888
Authorized Official
- Name
- DR. MICHAEL GOLLUB, M.D.
- Title
- PRESIDENT
- Phone
- (805) 497-7888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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