| Theresa Enriquez, Md, Inc | |
|
210 W 7th St Oxnard CA 93030-7173 | |
| (805) 394-0898 | |
| (805) 394-0897 |
| Full Name | Theresa Enriquez, Md, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 210 W 7th St, Oxnard, California |
| Authorized Official Name and Position | Theresa Enriquez (PRESIDENT) |
| Authorized Official Contact | 8053940898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Enriquez, Md, Inc 210 W 7th St Oxnard CA 93030-7173 Ph: (805) 394-0898 | Theresa Enriquez, Md, Inc 210 W 7th St Oxnard CA 93030-7173 Ph: (805) 394-0898 |
| NPI Number | 1891195210 |
|---|---|
| Provider Enumeration Date | 09/04/2014 |
| Last Update Date | 09/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891195210 | NPI | - | NPPES |
| 00G4932700 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G49327 (California) | Primary |
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