Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 51199 | CA |
Y | 213EG0000X | General Practice | 51199 | CA |
NPI | 1003829052 |
---|---|
Provider Name | Dr. Dean Lambridis |
First Address | Thousand Oaks, CA 91362-1391 |
Second Address | Irvine, CA 92606-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 08/07/2007 |