Ventana Health Center | |
901 Oak Park Blvd Ste 101 Pismo Beach CA 93449 | |
(805) 730-3981 | |
Not Available |
Full Name | Ventana Health Center |
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Speciality | Clinic/center - Community Health |
Location | 901 Oak Park Blvd Ste 101, Pismo Beach, California |
Authorized Official Name and Position | Matthew Richardson (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8057393108 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ventana Health Center 117 W Bunny Ave Santa Maria CA 93458-2805 Ph: (805) 739-3981 | Ventana Health Center 901 Oak Park Blvd Ste 101 Pismo Beach CA 93449 Ph: (805) 730-3981 |
NPI Number | 1538650825 |
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Provider Enumeration Date | 05/23/2018 |
Last Update Date | 11/12/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538650825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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Ventana Health And Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449 Phone: 805-489-2205 | |
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