Thomas Conklin in Northridge - Adult Medicine
Thomas Conklin - NPI 1497878706
Thomas Conklin is a Adult Medicine in Northridge, California. Thomas Conklin practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Thomas Conklin is 1497878706. The last update date is 2020-08-22.
Thomas Conklin's current location address is 18417 Nordhoff St, Northridge, California. You can contact this provider via phone number 3103480500. The mailing address for Thomas Conklin is 18417 Nordhoff St, Northridge, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thomas Conklin |
|---|---|
| Address | 18417 Nordhoff St, Northridge, California |
| Phone Number | 3103480500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING MA |
|---|---|
| Authorized Official Name | Garrett Steven |
| Credentials | M.D. |
| Telephone Number | 3103480500 |
NPI Number Detail
| NPI Number | 1497878706 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 18417 Nordhoff St |
|---|---|
| City | Northridge |
| State | California (CA) |
| Post Code | 913252200 |
| Phone Number | 3103480500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | G44486 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G444850 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Thomas Conklin by the Centers for Medicare & Medicaid Services?
The Thomas Conklin has been issued the NPI (National Provider Identifier) 1497878706 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Thomas Conklin?
The Thomas Conklin is physically situated at 18417 Nordhoff St, in the city of Northridge, state of CA, with the postal code 913252200.
What is the Thomas Conklin's area of specialization and corresponding taxonomy classification?
The Thomas Conklin's specialty field is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their specialties.
On what date did the Thomas Conklin receive its 1497878706 assignment from the Centers for Medicare & Medicaid Services?
The Thomas Conklin was assigned its 1497878706 by the Centers for Medicare & Medicaid Services on 2007-04-10.
When was the information regarding Thomas Conklin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Thomas Conklin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1447253448
Address: 4420 E Miraloma Ave Ste F, Anaheim, CA