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General NPI Number Information
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NPI Number | 1245982883
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Entity Type | Organization
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Legal Business Name | CONEJO HEALTH
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 31111 AGOURA RD
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4449
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Country | US
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Telephone | 818-390-9444
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Fax | 818-381-0007
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Provider Business Mailing Address
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Address Line | PO BOX 7741
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91359-7741
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Country | US
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Telephone | 818-390-9444
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Fax | 818-381-0007
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Authorized Official
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Title or Position | CEO
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Name | MR. MATTHEW PALL
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Credential | NRP, CP-C
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Telephone | 818-390-9444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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