| Ci Marina Medical Inc | |
|
4310 Tradewinds Dr Ste 300 Oxnard CA 93035-1407 | |
| (805) 985-5880 | |
| (805) 984-9839 |
| Full Name | Ci Marina Medical Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4310 Tradewinds Dr, Oxnard, California |
| Authorized Official Name and Position | Gary Robert Mitnick (PRESIDENT) |
| Authorized Official Contact | 8059855880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ci Marina Medical Inc 4310 Tradewinds Dr Ste 300 Oxnard CA 93035-1407 Ph: (805) 985-5880 | Ci Marina Medical Inc 4310 Tradewinds Dr Ste 300 Oxnard CA 93035-1407 Ph: (805) 985-5880 |
| NPI Number | 1609106467 |
|---|---|
| Provider Enumeration Date | 12/29/2009 |
| Last Update Date | 09/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609106467 | NPI | - | NPPES |
| 20A4379 | Other | CA | MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A4379 (California) | Primary |
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