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Organization
EASTERN VENTURA MEDICAL GROUP, INC.
Active
Organization
EASTERN VENTURA MEDICAL GROUP, INC.
Active
Other names
Med Center Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DENICE RUSCIGNO (ADMINISTRATOR)
(805) 583-5555
Entity
Organization
Contact information
Practice address
1980 SEQUOIA AVE, SIMI VALLEY, CA 93063-3167
(805) 583-5555
(805) 583-5554
Mailing address
1980 SEQUOIA AVE, SIMI VALLEY, CA 93063-3167
(805) 583-5555
(805) 583-5637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Enumeration date
05/18/2006
Last updated
07/21/2022
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