Ronald Thurston Md A Medical Corporation | |
400 Mobil Avenue #d9 Camarillo CA 93010 | |
(805) 388-3337 | |
(805) 388-1155 |
Full Name | Ronald Thurston Md A Medical Corporation |
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Speciality | Psychiatry & Neurology |
Location | 400 Mobil Avenue, Camarillo, California |
Authorized Official Name and Position | Ronald C Thurston (CEO) |
Authorized Official Contact | 8053883337 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ronald Thurston Md A Medical Corporation 400 Mobil Avenue D9 Camarillo CA 93010 Ph: (805) 388-3337 | Ronald Thurston Md A Medical Corporation 400 Mobil Avenue #d9 Camarillo CA 93010 Ph: (805) 388-3337 |
NPI Number | 1942447990 |
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Provider Enumeration Date | 01/13/2009 |
Last Update Date | 06/04/2010 |
Medicare PECOS PAC ID | 1052459500 |
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Medicare Enrollment ID | O20091104000082 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942447990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | C-31856 (California) | Primary |
Provider Name | Ronald C Thurston |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386751857 PECOS PAC ID: 6608914155 Enrollment ID: I20091104000069 |
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