Provider Demographics
NPI:1245982883
Name:CONEJO HEALTH
Entity type:Organization
Organization Name:CONEJO HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:PALL
Authorized Official - Suffix:
Authorized Official - Credentials:NRP, CP-C
Authorized Official - Phone:818-390-9444
Mailing Address - Street 1:PO BOX 7741
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91359-7741
Mailing Address - Country:US
Mailing Address - Phone:818-390-9444
Mailing Address - Fax:818-381-0007
Practice Address - Street 1:31111 AGOURA RD STE 250
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4448
Practice Address - Country:US
Practice Address - Phone:818-390-9444
Practice Address - Fax:818-381-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-25
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No333600000XSuppliersPharmacy
No341600000XTransportation ServicesAmbulance