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Search › California › 225200000X

Robert Baniasadi, PTA

NPI 1124564067 · on the registry since 2017

Practice

Address
612 E Janss Rd
Thousand Oaks, CA 91360
Phone
(805) 373-0725
Fax
(805) 373-0574
Organisation at this address
Community Medical Group Inc
Lakeside Medical Associates, A Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California