Agoura Hills Health Care - Medicare Primary Care in Agoura Hills, CA

Agoura Hills Health Care is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Agoura Hills, California. The current practice location for Agoura Hills Health Care is 29525 Canwood St Ste 306, Agoura Hills, California. For appointments, you can reach them via phone at (818) 640-5448. The mailing address for Agoura Hills Health Care is 25643 Monte Nido Dr, Calabasas, California and phone number is (818) 640-5448.

Agoura Hills Health Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700205283. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (818) 640-5448.

Contact Information

Agoura Hills Health Care
29525 Canwood St Ste 306
Agoura Hills
CA 91301-4232
(818) 640-5448
Not Available

Primary Care Clinic Profile

Full NameAgoura Hills Health Care
SpecialityClinic/Center
Location29525 Canwood St Ste 306, Agoura Hills, California
Authorized Official Name and PositionCraig Steven Dockendorf (CFO)
Authorized Official Contact8186405448
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Agoura Hills Health Care
25643 Monte Nido Dr
Calabasas
CA 91302-2226

Ph: (818) 640-5448
Agoura Hills Health Care
29525 Canwood St Ste 306
Agoura Hills
CA 91301-4232

Ph: (818) 640-5448

NPI Details:

NPI Number1700205283
Provider Enumeration Date04/10/2014
Last Update Date04/18/2014

Medicare PECOS Information:

Medicare PECOS PAC ID1254555790
Medicare Enrollment IDO20140624000847

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Medical Identifiers

Medical identifiers for Agoura Hills Health Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700205283NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Agoura Hills Health Care acts as a billing entity for following providers:
Provider NameLucille C Thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114995768
PECOS PAC ID: 3375537889
Enrollment ID: I20050803001204

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