Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Los Robles Pediatric Medical Group, Inc

Organization Pediatrics Physician · NPI 1013919208

Los Robles Pediatric Medical Group, Inc is a Pediatrics Physician in Thousand Oaks, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

299 W Hillcrest Dr Ste 100
Thousand Oaks, CA 91360-7820
Phone: (805) 497-7888
Fax: (805) 494-3498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A22017 (CA)

Record details

NPI number1013919208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gollub — President · (805) 497-7888
NPI enumeratedJune 1, 2005
Last updated in NPPESAugust 22, 2020
Mailing address299 W Hillcrest Dr, Ste 100, Thousand Oaks, CA 91360-7820

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