MEDICARE: LANDEN STOCK

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1699555417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANDEN STOCK

Provider Business Mailing Address
First Line	:	3603 OLD CONEJO RD
Second Line	:
City	:	NEWBURY PARK
State	:	CA
Zip	:	91320-2123
Country	:	US
Telephone Number	:	818-879-3701
Fax Number	:

Provider Business Practice Location Address
First Line	:	30125 AGOURA RD STE E
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-4337
Country	:	US
Telephone Number	:	805-491-9835
Fax Number	:

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

Provider Enumeration Date	:	09/29/2023
Last Update Date	:	09/29/2023

Similar Medicare Providers

1033066345 — MONIQUE JACQUELINE BLANCHARD
Practice Location Address:

30125 AGOURA RD STE E
AGOURA HILLS, CA
91301-4337

Practice Phone: 310-570-5027
Practice Fax:

1659973154 — FOY WELLNESS AND RECOVERY, LLC
Practice Location Address:

30125 AGOURA RD STE E
AGOURA HILLS, CA
91301-4337

Practice Phone: 805-217-9500
Practice Fax:

1184404915 — REMINGTON ELIZABETH MOSES
Practice Location Address:

30125 AGOURA RD # F
AGOURA HILLS, CA
91301-4337

Practice Phone: 805-557-8996
Practice Fax:

1821840588 — NOEL NICOLE DORAN
Practice Location Address:

30125 AGOURA RD
AGOURA HILLS, CA
91301-4337

Practice Phone: 805-558-0839
Practice Fax:

1407601263 — MORGAN ATKERSON
Practice Location Address:

30125 AGOURA RD STE F
AGOURA HILLS, CA
91301-4337

Practice Phone: 805-659-8429
Practice Fax:

1649001587 — MRS. LISA MARIE HARRIS
Practice Location Address:

30125 AGOURA RD STE E
AGOURA HILLS, CA
91301-4337

Practice Phone: 805-558-0839
Practice Fax:

Directions to “ LANDEN STOCK ” 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.