| Mission Medical Corporation Of Ventura County, Inc. | |
|
1150 N Ventura Rd Oxnard CA 93030-3837 | |
| (805) 983-8810 | |
| (805) 983-8821 |
| Full Name | Mission Medical Corporation Of Ventura County, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1150 N Ventura Rd, Oxnard, California |
| Authorized Official Name and Position | Marinor Cueto Isidoro-torres (CEO) |
| Authorized Official Contact | 8059838810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Medical Corporation Of Ventura County, Inc. 1150 N Ventura Rd Oxnard CA 93030-3837 Ph: (805) 983-8810 | Mission Medical Corporation Of Ventura County, Inc. 1150 N Ventura Rd Oxnard CA 93030-3837 Ph: (805) 983-8810 |
| NPI Number | 1558436246 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558436246 | NPI | - | NPPES |
| 00G637400 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G63740 (California) | Primary |
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