| Redimedic Inc | |
|
3418 Loma Vista Rd Suite B Ventura CA 93003-3016 | |
| (805) 644-4809 | |
| (805) 654-7090 |
| Full Name | Redimedic Inc |
|---|---|
| Speciality | General Practice |
| Location | 3418 Loma Vista Rd, Ventura, California |
| Authorized Official Name and Position | Stephen Robert Shaw (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8056444809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redimedic Inc 3418 Loma Vista Rd Suite B Ventura CA 93003-3016 Ph: (805) 644-4809 | Redimedic Inc 3418 Loma Vista Rd Suite B Ventura CA 93003-3016 Ph: (805) 644-4809 |
| NPI Number | 1649500877 |
|---|---|
| Provider Enumeration Date | 01/11/2010 |
| Last Update Date | 01/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649500877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G47926 (California) | Primary |
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