Healthcare Provider Details

I. General information

NPI: 1689779241
Provider Name (Legal Business Name): WESTOAKS ORTHOPEDICS ASSOCIATES A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 06/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 HAALAND DR SUITE 101
THOUSAND OAKS CA
91361-5229
US

IV. Provider business mailing address

425 HAALAND DR SUITE 101
THOUSAND OAKS CA
91361-5229
US

V. Phone/Fax

Practice location:
  • Phone: 805-496-2229
  • Fax: 805-496-7479
Mailing address:
  • Phone: 805-496-2229
  • Fax: 805-496-7479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MELVIN RONALD PIZITZ
Title or Position: OWNER
Credential: M.D.
Phone: 805-496-2229