| Oxnard - Camarillo Pulmonary And Internal Medicine Medical Group | |
|
703 North A St Oxnard CA 93030-4309 | |
| (805) 485-2340 | |
| (805) 485-1429 |
| Full Name | Oxnard - Camarillo Pulmonary And Internal Medicine Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 703 North A St, Oxnard, California |
| Authorized Official Name and Position | Theodore G Hostetler (PRESIDENT) |
| Authorized Official Contact | 8054852340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oxnard - Camarillo Pulmonary And Internal Medicine Medical Group 703 N A St Oxnard CA 93030-4309 Ph: (805) 485-2340 | Oxnard - Camarillo Pulmonary And Internal Medicine Medical Group 703 North A St Oxnard CA 93030-4309 Ph: (805) 485-2340 |
| NPI Number | 1093705279 |
|---|---|
| Provider Enumeration Date | 10/27/2005 |
| Last Update Date | 07/03/2008 |
| Medicare PECOS PAC ID | 0446322770 |
|---|---|
| Medicare Enrollment ID | O20080702000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093705279 | NPI | - | NPPES |
| ZZZ2801852 | Medicaid | CA |
| Provider Name | Theodore G Hostetler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265423859 PECOS PAC ID: 8820162290 Enrollment ID: I20080814000726 |
| Provider Name | Bennet Lloyd Lipper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235129420 PECOS PAC ID: 0648344010 Enrollment ID: I20110830000373 |
| Provider Name | John R Walters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013907203 PECOS PAC ID: 3274607643 Enrollment ID: I20120516000554 |
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