# OXNARD MED GROUP A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114776945
- **Authorized official:** L LEE NELSON MD (PRESIDENT)
- **Authorized official phone:** (818) 262-5655

## Contact information

- **Practice address:** 13651 OXNARD ST, VAN NUYS, CA 91401-4045
- **Practice address phone:** (818) 262-5655
- **Mailing address:** 13651 OXNARD ST, VAN NUYS, CA 91401-4045
- **Mailing address phone:** (818) 262-5655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2024
- **Last updated:** 05/14/2024