MEDICARE: DR. TOM F MEASLES 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	208600000X	Surgery Physician	A67464	CA

General Provider Information

NPI Number	:	1063417301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TOM F MEASLES M.D.

Provider Business Mailing Address
First Line	:	2190 LYNN RD
Second Line	:	STE 320
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-1980
Country	:	US
Telephone Number	:	805-370-5444
Fax Number	:	805-370-5515

Provider Business Practice Location Address
First Line	:	2190 LYNN RD
Second Line	:	STE 320
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-1980
Country	:	US
Telephone Number	:	805-370-5444
Fax Number	:	805-370-5515

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	07/08/2007

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