# OXNARD EYE ASSOCIATES MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1417060245
- **Authorized official:** MR. SANJAY LOGANI M.D. (PRESIDENT AND CEO)
- **Authorized official phone:** (818) 886-6700

## Contact information

- **Practice address:** 351 S B ST, OXNARD, CA 93030-5806
- **Practice address phone:** (805) 240-1650
- **Practice address fax:** (805) 240-1953
- **Mailing address:** 17750 SHERMAN WAY.,, SUITE 100, RESEDA, CA 91335
- **Mailing address phone:** (818) 886-6700
- **Mailing address fax:** (818) 886-6709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPT015370TLG | CA | — |
| 207W00000X | Ophthalmology Physician | G73456 | CA | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 03/17/2018