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2861 N Ventura Rd #102 Oxnard CA 93036-2213 | |
| (805) 981-3868 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 2861 N Ventura Rd, Oxnard, California |
| Authorized Official Name and Position | Marie E.c.s. Alejandrino-buell (PRESIDENT) |
| Authorized Official Contact | 8059813868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2861 N Ventura Rd #102 Oxnard CA 93036-2213 Ph: (805) 338-2630 | 2861 N Ventura Rd #102 Oxnard CA 93036-2213 Ph: (805) 981-3868 |
| NPI Number | 1730634585 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 08/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730634585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 44137 (California) | Primary |
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