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Organization
WESTSIDE FAMILY PRACTICE
Active
Organization
WESTSIDE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANICE J LAMBERT (MANAGER)
(805) 525-2121
Entity
Organization
Contact information
Practice address
400 E SANTA BARBARA ST, SUITE A, SANTA PAULA, CA 93060-2675
(805) 525-2121
(805) 525-3652
Mailing address
400 E SANTA BARBARA ST, SUITE A, SANTA PAULA, CA 93060-2675
(805) 525-2121
(805) 525-3652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285671206
NPI
—
05
—
GR0024030
—
CA
Enumeration date
01/24/2007
Last updated
10/11/2007
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