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Organization
OXNARD CAMARILLO ANESTHESIOLOGY MEDICAL GROUP
Active
Organization
OXNARD CAMARILLO ANESTHESIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON P. BELLEVILLE M.D. (GENERAL PARTNER)
(310) 440-3131
Entity
Organization
Contact information
Practice address
2309 ANTONIO AVE, CAMARILLO, CA 93010-1414
(805) 988-2500
Mailing address
3116 W MARCH LN, STE. 200, STOCKTON, CA 95219-2369
(209) 473-6555
(209) 473-6544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF8796
RAILROAD MEDICARE
CA
05
—
GR0081300
—
CA
Enumeration date
07/13/2006
Last updated
05/15/2015
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