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Organization
BRYANT J. LUM MD
Active
Organization
BRYANT J. LUM MD
Active
Other names
VENTURA OPHTHALMOLOGY MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH WINTERMUTE (ADMINISTRATOR)
(805) 648-6891
Entity
Organization
Contact information
Practice address
3088 TELEGRAPH RD, SUITE A, VENTURA, CA 93003-3234
(805) 648-6891
(805) 648-6386
Mailing address
3088 TELEGRAPH RD, SUITE A, VENTURA, CA 93003-3234
(805) 648-6891
(805) 648-6386
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A45040
CA
Other
Enumeration date
10/27/2006
Last updated
12/22/2010
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