NITI V. PERUVEMBA, D.O., INC.
Suppliers at Agoura Rd, Thousand Oaks, CA

License number
California 20A8826
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: NITI V. PERUVEMBA DO
Title: PRESIDENT
Phone: (818) 707-0290
Address
Address
32144 Agoura Rd SUITE 118, Thousand Oaks, CA 91361
National Provider ID: 1568819415
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about NITI V. PERUVEMBA, D.O., INC. at bizstanding.com

NITI V. PERUVEMBA, D.O., INC

Thousand Oaks, CA

Industry:
Medical Doctor's Office
Registration:
Feb 21, 2006
Addresses:
375 Rolling Oaks Dr SUITE 115, Westlake Village, CA 91361 (Physical)
329 S Moorpark Rd, Thousand Oaks, CA 91361
State ID:
C2858328
Business type:
Articles of Incorporation
President:
Niti V. Peruvemba (President)
Agent:
Niti V Peruvemba,Westlake Village, CA 91361 (Physical)

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