Thomas E Conklin
Family Doctor - Adult Medicine
18417 Nordhoff St Suite# B
Northridge
, California 91325-2200
Thomas E Conklin
Family Doctor - Adult Medicine
18417 Nordhoff St Suite# B
Northridge
, California 91325-2200
(818) 701-5360
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Thomas E Conklin
- 2650 Santa Ynez Ave
- Simi Valley, CA
- Zip : 93063-2387
- Fax : (818) 701-5360
- Phone : (818) 701-0551
Second Address
- Thomas E Conklin
- 18417 Nordhoff St Suite# B
- Northridge, CA
- Zip : 91325-2200
- Fax : (818) 701-5360
- Phone : (818) 701-0551
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Is Thomas E Conklin a sole practitioner?
Is Thomas E Conklin accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 156153 | MA |
National Provider Identifier
| NPI | 1124066436 |
|---|---|
| Provider Name | Thomas E Conklin |
| First Address | Simi Valley, CA 93063-2387 |
| Second Address | Northridge, CA 91325-2200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 11/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A92496 | (02) | CA |
| G44486 | LICENSE NUMBER (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.