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

Memory Health Mds PC

Organization Internal Medicine Physician · NPI 1174263719

Memory Health Mds PC is an Internal Medicine Physician in Thousand Oaks, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3302 Woodley Ave
Thousand Oaks, CA 91362-1170
Phone: (805) 627-4002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1174263719
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Preetivi Ellis — Ceo · (310) 880-0745
NPI enumeratedMarch 31, 2022
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022
Mailing address3302 Woodley Ave, Thousand Oaks, CA 91362-1170

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