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Agoura Family Practice Associates — NPI 1174995518, Thousand Oaks, CA | NPI Central

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NPI 1174995518

OrganizationActive

Agoura Family Practice Associates

NPI 1174995518 · Non-Pharmacy Dispensing Site · Thousand Oaks, CA

Provider details

NPI number: 1174995518
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Agoura Family Practice Associates
Organization subpart: Yes
Authorized official: Bader Iqbal, Owner(805) 494-8520
License: G69473 (CA)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense G69473 (CA)
Suppliers

Practice location

3180 Willow Ln

Suite 102

Thousand Oaks, CA 91361-4941

Phone: (805) 494-8520

Fax: (888) 431-8819

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

2980 N Beverly Glen Cir

Los Angeles, CA 90077-1726

Other names (DBA / former)

Doing business as: Agoura Family Practice Medical Assoicates

Registry dates

Enumerated: 2015-10-26
Last updated: 2015-10-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.