Provider Demographics
NPI:1689779241
Name:WESTOAKS ORTHOPEDICS ASSOCIATES A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:WESTOAKS ORTHOPEDICS ASSOCIATES A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:PIZITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-496-2229
Mailing Address - Street 1:425 HAALAND DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5229
Mailing Address - Country:US
Mailing Address - Phone:805-496-2229
Mailing Address - Fax:805-496-7479
Practice Address - Street 1:425 HAALAND DR
Practice Address - Street 2:SUITE 101
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-5229
Practice Address - Country:US
Practice Address - Phone:805-496-2229
Practice Address - Fax:805-496-7479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW14070Medicare ID - Type Unspecified