DR. JOHN W ELLIOTT, MD
Osteopathic Medicine at Meadow Grove Ln, Thousand Oaks, CA

License number
California C40989
Category
Osteopathic Medicine
Type
Emergency Medicine
Address
Address
532 Meadow Grove Ln, Thousand Oaks, CA 91362
Phone
(805) 206-1445
National Provider ID: 1043224280
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOHN W. ELLIOTT, M.D., A PROFESSIONAL MEDICAL CORPORATION

Thousand Oaks, CA  -  Santa Cruz, CA

Registration:
Nov 20, 2009
Addresses:
PO Box 3084, Westlake Village, CA 91359 (Physical)
740 Front St, Santa Cruz, CA 95060
1090 Vis Rdg Ln, Thousand Oaks, CA 91362
State ID:
C3261049
Business type:
Articles of Incorporation
Presidents:
John Wesley Elliott (President),John W Elliott A President, inactive
Agent:
John W Elliott,Thousand Oaks, CA 91362 (Physical)

John W. Elliott, M.D., A Professional Medical Corporation

532 Mdw Grv Ln, Thousand Oaks, CA 91362

Industry:
Health/Allied Services

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