Provider Demographics
NPI:1891723664
Name:DURAND, PIERRE JR (MD)
Entity Type:Individual
Prefix:
First Name:PIERRE
Middle Name:
Last Name:DURAND
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:375 ROLLING OAKS DR
Mailing Address - Street 2:STE 200
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1023
Mailing Address - Country:US
Mailing Address - Phone:805-497-9481
Mailing Address - Fax:805-497-3416
Practice Address - Street 1:375 ROLLING OAKS DR
Practice Address - Street 2:STE 200
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1023
Practice Address - Country:US
Practice Address - Phone:805-497-9481
Practice Address - Fax:805-497-3416
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAH68871207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABD5618953OtherDEA NUMBER
CAH68871Medicare UPIN
CABD5618953OtherDEA NUMBER