Chaning Tides Treatment
Chaning Tides Treatment is an Addiction Medicine (Family Medicine) Physician in Ventura, California. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
2021 Sperry Ave Ste 18Ventura, CA 93003-7408
Phone: (844) 883-3869
Fax: (805) 624-5311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0401X |
|---|
Record details
| NPI number | 1508315250 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angela Iacullo — Billing · (954) 415-8781 |
| NPI enumerated | September 22, 2016 |
| Last updated in NPPES | September 22, 2016 |
| Mailing address | 2021 Sperry Ave, Suite 18, Ventura, CA 93003-7408 |
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