# REDIMEDIC INC

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

## Provider details

- **NPI number:** 1649500877
- **Authorized official:** DR. STEPHEN ROBERT SHAW MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (805) 644-4809

## Contact information

- **Practice address:** 3418 LOMA VISTA RD, SUITE B, VENTURA, CA 93003-3016
- **Practice address phone:** (805) 644-4809
- **Practice address fax:** (805) 654-7090
- **Mailing address:** 3418 LOMA VISTA RD, SUITE B, VENTURA, CA 93003-3016
- **Mailing address phone:** (805) 644-4809
- **Mailing address fax:** (805) 654-7090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G47926 | CA | Yes |

## Other

- **Enumeration date:** 01/11/2010
- **Last updated:** 01/11/2010