Internal Medicine & Pediatrics Private Practice, a Medical Corporation
Internal Medicine & Pediatrics Private Practice, a Medical Corporation is an Internal Medicine Physician in Camarillo, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
3687 Las Posas Rd Ste H-187Camarillo, CA 93010-1482
Phone: (805) 445-4189
Fax: (805) 445-9219
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence A053595 (CA) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence A053595 (CA) |
Record details
| NPI number | 1790967404 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ragu Nathan — Manager · (818) 671-7700 |
| NPI enumerated | December 4, 2007 |
| Last updated in NPPES | December 4, 2007 |
| Mailing address | 3687 Las Posas Rd, Suite H-187, Camarillo, CA 93010-1482 |
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Medical Corporation of Southern California
3687 Las Posas Rd Ste 187H, Camarillo, CA 93010-1431 · (805) 445-4189