Provider Demographics
NPI:1245504976
Name:OFMAN, JOSHUA JUDAH (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JUDAH
Last Name:OFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 AMGEN CENTER DR
Mailing Address - Street 2:MAILSTOP 27-2-C
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91320-1730
Mailing Address - Country:US
Mailing Address - Phone:805-447-0787
Mailing Address - Fax:805-480-1254
Practice Address - Street 1:1 AMGEN CENTER DR
Practice Address - Street 2:MAILSTOP 27-2-C
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91320-1730
Practice Address - Country:US
Practice Address - Phone:805-447-0787
Practice Address - Fax:805-480-1254
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG76388174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG76388OtherMEDICAL BOARD OF CALIFORNIA