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Organization
VENTURA COUNTY ANESTHESIA MEDICAL GROUP, INC.
Active
Organization
VENTURA COUNTY ANESTHESIA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J. FISHMAN MD (SOLE INCORPORATOR)
(805) 652-6000
Entity
Organization
Contact information
Practice address
3291 LOMA VISTA RD, VENTURA, CA 93003-3099
(805) 652-6000
Mailing address
3116 W MARCH LN, SUITE 200, STOCKTON, CA 95219-2369
(209) 473-6555
(209) 473-6544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679837645
—
CA
Enumeration date
06/25/2012
Last updated
08/28/2014
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