Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Los Robles Pediatric Medical Group, Inc

Organization Pediatrics Physician · NPI 1013919208

Los Robles Pediatric Medical Group, Inc provides Pediatrics Physician services 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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