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Organization
MEDICAL KITCHEN
Active
Organization
MEDICAL KITCHEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT PILLARD (GENERAL PARTNER/PRESIDENT)
(805) 218-1746
Entity
Organization
Contact information
Practice address
4850 VERDUGO WAY STE B, CAMARILLO, CA 93012
(805) 218-1746
Mailing address
4850 VERDUGO WAY STE B, CAMARILLO, CA 93012
(805) 218-1746
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
332U00000X
Home Delivered Meals
—
NULL
335G00000X
Medical Foods Supplier
Primary
—
NULL
Other
Enumeration date
02/27/2024
Last updated
04/12/2024
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