MEDICARE: MAO INHIBITORS

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1992454094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAO INHIBITORS

Provider Business Mailing Address
First Line	:	5158 CLARETON DR UNIT 1602
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91376-7086
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5158 CLARETON DR UNIT 1602
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91376-7086
Country	:	US
Telephone Number	:	818-906-4224
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	NEIL SHAH
Credential	:
Telephone Number	:	323-696-2647

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	10/22/2023

Similar Medicare Providers

1417350430 — STEPHANIE L. DAVIDSON, PSY.D., A PSYCHOLOGICAL CORPORATION
Practice Location Address:

5158 CLARETON DR UNIT 481
AGOURA HILLS, CA
91376-7030

Practice Phone: 805-405-6945
Practice Fax:

1619341773 — KRISTIN GRANNIS MFTI 73996
Practice Location Address:

5158 CLARETON DR UNIT 1058
AGOURA HILLS, CA
91376-7056

Practice Phone: 310-929-0935
Practice Fax:

1952171357 — DENISE MARTINEZ LCSW
Practice Location Address:

5158 CLARETON DR UNIT 235
AGOURA HILLS, CA
91376-7016

Practice Phone: 310-892-2766
Practice Fax:

1285456970 — MISS MOLLY WEINSTEIN RN
Practice Location Address:

PO BOX 175
AGOURA HILLS, CA
91376-0175

Practice Phone: 818-309-6113
Practice Fax:

1396543484 — GINA LYONS PH.D.
Practice Location Address:

5158 CLARETON DR. , #1464
AGOURA HILLS, CA
91376

Practice Phone: 818-346-7259
Practice Fax:

1407262272 — C2C DIAGNOSTICS, LLC
Practice Location Address:

5158 CLARETON DR , UNIT 26
AGOURA, CA
91376-7001

Practice Phone: 818-456-4683
Practice Fax:

Directions to “MAO INHIBITORS ” 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.