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655 Ventura Ave Oak View CA 93022-9655 | |
(805) 649-3750 | |
(805) 649-3780 |
Full Name | |
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Speciality | Clinic/Center |
Location | 655 Ventura Ave, Oak View, California |
Authorized Official Name and Position | Mick Zdeblick (CEO) |
Authorized Official Contact | 8056525011 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5855 Olivas Park Dr Ventura CA 93003-7672 Ph: (805) 667-2801 | 655 Ventura Ave Oak View CA 93022-9655 Ph: (805) 649-3750 |
NPI Number | 1750329967 |
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Provider Enumeration Date | 06/02/2006 |
Last Update Date | 05/28/2024 |
Medicare PECOS PAC ID | 9537155676 |
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Medicare Enrollment ID | O20050419001488 |
Identifier | Type | State | Issuer |
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1750329967 | NPI | - | NPPES |
RHM18553H | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |