| Public Health Immunization Program | |
|
2240 E Gonzales Rd Ste 210 Oxnard CA 93036-8216 | |
| (805) 981-5211 | |
| Not Available |
| Full Name | Public Health Immunization Program |
|---|---|
| Speciality | Clinic/Center |
| Location | 2240 E Gonzales Rd Ste 210, Oxnard, California |
| Authorized Official Name and Position | Rigoberto Vargas (PUBLIC HEALTH MANAGER) |
| Authorized Official Contact | 8059815101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Public Health Immunization Program 800 S Victoria Ave # L4615 Ventura CA 93009-0003 Ph: (805) 677-5210 | Public Health Immunization Program 2240 E Gonzales Rd Ste 210 Oxnard CA 93036-8216 Ph: (805) 981-5211 |
| NPI Number | 1134658644 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 01/16/2019 |
| Medicare PECOS PAC ID | 7911810171 |
|---|---|
| Medicare Enrollment ID | O20190102002170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134658644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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