# ALFREDO BIMBELA

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

## Provider details

- **NPI number:** 1346756178
- **Authorized official:** DR. ALFREDO BIMBELA PHD, FNP, PHMHNP (PROVIDER)
- **Authorized official phone:** (805) 284-1783

## Contact information

- **Practice address:** 3585 MAPLE ST STE 233, VENTURA, CA 93003-9148
- **Practice address phone:** (805) 284-1783
- **Practice address fax:** (888) 958-5269
- **Mailing address:** 1500 PALMA DR FL 2, VENTURA, CA 93003-6451
- **Mailing address phone:** (805) 284-1783
- **Mailing address fax:** (888) 958-5269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 15951 | CA | Yes |

## Other

- **Enumeration date:** 12/15/2017
- **Last updated:** 05/24/2021