| Kaiser Permanente | |
|
2200 E Gonzales Rd Oxnard CA 93036-0619 | |
| (805) 604-6025 | |
| (805) 604-6039 |
| Full Name | Kaiser Permanente |
|---|---|
| Speciality | Clinic/center |
| Location | 2200 E Gonzales Rd, Oxnard, California |
| Authorized Official Name and Position | Olga Vaness Ortiz (MEDICAL SOCIAL WORKER) |
| Authorized Official Contact | 8056046025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente Po Box 4084 Woodland Hills CA 91365-4084 Ph: (805) 604-6025 | Kaiser Permanente 2200 E Gonzales Rd Oxnard CA 93036-0619 Ph: (805) 604-6025 |
| NPI Number | 1811367436 |
|---|---|
| Provider Enumeration Date | 09/25/2015 |
| Last Update Date | 09/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811367436 | NPI | - | NPPES |
| LCSW68432 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | LCSW68432 (California) | Primary |
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