Individual provider · NPI-1

Paul L. Dudley, M.D.

Psychiatry & Neurology, Neurology · Thousand Oaks, CA

NPI number1053378828
StatusActive
Last updated in NPPESAug 11, 2016

Details

NPI
1053378828
Entity type
Individual (NPI-1)
Name
Paul L. Dudley
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 27, 2006
Last updated
Aug 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyG25705CAYes

Practice location

227 W Janss Rd
#135
Thousand Oaks, CA 91360-1848

Phone 805-373-2890 · Fax 805-364-5464

Mailing address

227 W Janss Rd
#135
Thousand Oaks, CA 91360-1848

Phone 805-373-2890 · Fax 805-364-5464

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