# VENTURA HEALTH CARE MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1700791373
- **Authorized official:** LANCE L MIXON MD (CEO)
- **Authorized official phone:** (818) 489-1290

## Contact information

- **Practice address:** 14827 VENTURA BLVD STE 100, SHERMAN OAKS, CA 91403-5218
- **Practice address phone:** (818) 855-1962
- **Mailing address:** 14827 VENTURA BLVD STE 100, SHERMAN OAKS, CA 91403-5218
- **Mailing address phone:** (818) 489-1290

## Taxonomy

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

## Other

- **Enumeration date:** 08/17/2026
- **Last updated:** 08/17/2026