Robert D Hesselgesser A Professional Medical Corporation
in Thousand Oaks, CA. Organization (NPI-2).
NPI number1982197562
StatusActive
Last updated in NPPESJun 8, 2018
Details
- NPI
- 1982197562
- Entity type
- Organization (NPI-2)
- Legal business name
- Robert D Hesselgesser A Professional Medical Corporation
- Organization subpart
- No
- Enumeration date
- Jun 8, 2018
- Last updated
- Jun 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | – | – | Yes |
Practice location
2200 Lynn RdThousand Oaks, CA 91360-2071
Phone 805-208-7006 · Fax 208-437-2113
Mailing address
1731 Schoolhouse CirWestlake Village, CA 91362-4257
Phone 805-208-7006 · Fax 208-437-2113
Authorized official
Dorene Griffith
Credentialing Director
2084372114
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