# ALI REZA BERENJI M D A PROF CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopedic and Arthitic Med. Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093993248
- **Authorized official:** ALI REZA BERENJI M.D. (PRESIDENT)
- **Authorized official phone:** (805) 983-7578

## Contact information

- **Practice address:** 500 E ESPLANADE DR, SUITE 815, OXNARD, CA 93036-0540
- **Practice address phone:** (805) 983-7578
- **Practice address fax:** (805) 981-8346
- **Mailing address:** PO BOX 6126, OXNARD, CA 93031-6126
- **Mailing address phone:** (805) 983-7578
- **Mailing address fax:** (805) 981-8346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2008
- **Last updated:** 04/11/2012