MEDICARE: DR. MIRIAM H DE LYON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	A49400	CA

General Provider Information

NPI Number	:	1952430431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIRIAM H DE LYON M.D.

Provider Business Mailing Address
First Line	:	299 W HILLCREST DR STE 100
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-7820
Country	:	US
Telephone Number	:	805-497-7888
Fax Number	:	805-494-3498

Provider Business Practice Location Address
First Line	:	299 W HILLCREST DR STE 100
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-7820
Country	:	US
Telephone Number	:	805-497-7888
Fax Number	:	805-494-3498

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1013919208 — LOS ROBLES PEDIATRIC MEDICAL GROUP, INC.
Practice Location Address:

299 W HILLCREST DR , STE 100
THOUSAND OAKS, CA
91360-7820

Practice Phone: 805-497-7888
Practice Fax: 805-494-3498

1538107289 — WEST COAST HEARING & BALANCE CENTER
Practice Location Address:

299 W. HILLCREST DRIVE #100
THOUSAND OAKS, CA
91360-7820

Practice Phone: 805-379-0824
Practice Fax: 805-379-0611

1881723351 — DR. MICHAEL H GOLLUB M.D.
Practice Location Address:

299 W HILLCREST DR STE 100
THOUSAND OAKS, CA
91360-7820

Practice Phone: 805-497-7888
Practice Fax: 805-494-3498

1003945585 — DR. TAMMY S CHI M.D.
Practice Location Address:

299 W HILLCREST DR STE 100
THOUSAND OAKS, CA
91360-7820

Practice Phone: 805-497-7888
Practice Fax: 805-494-3498

1285252544 — SARAH MELZER NP
Practice Location Address:

299 W HILLCREST DR STE 100
THOUSAND OAKS, CA
91360-7820

Practice Phone: 805-497-7888
Practice Fax:

1245121458 — MICHAEL G ZANDONA AUD
Practice Location Address:

299 W HILLCREST DR STE 100
THOUSAND OAKS, CA
91360-7820

Practice Phone: 805-379-0824
Practice Fax:

Directions to “ DR. MIRIAM H DE LYON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.