# NORTHRIDGE MEDICAL GROUP

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

## Provider details

- **NPI number:** 1508943903
- **Authorized official:** MARY MCCORMACK (CEO)
- **Authorized official phone:** (818) 444-5273

## Contact information

- **Practice address:** 1901 SOLAR DR, SUITE 265, OXNARD, CA 93036-2641
- **Practice address phone:** (805) 988-2280
- **Mailing address:** 1901 SOLAR DR, SUITE 265, OXNARD, CA 93036-2641
- **Mailing address phone:** (805) 988-2280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020