# CALIFORNIA CARDIOVASCULAR AND THORACIC SURGEONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** California Cardiac Surgeons - A Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295800308
- **Authorized official:** DR. LAMAR J. BUSHNELL M.D. (PARTNER)
- **Authorized official phone:** (805) 643-2375

## Contact information

- **Practice address:** 168 N BRENT ST, SUITE 508, VENTURA, CA 93003-2817
- **Practice address phone:** (805) 643-2375
- **Practice address fax:** (805) 643-3511
- **Mailing address:** 168 N BRENT ST, SUITE 508, VENTURA, CA 93003-2817
- **Mailing address phone:** (805) 643-2375
- **Mailing address fax:** (805) 643-3511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 01/24/2011