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Organization
PRIMARY MEDICAL GROUP OF VENTURA COUNTY INC
Active
Organization
PRIMARY MEDICAL GROUP OF VENTURA COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD JACOB BANMAN M.D. (PRESIDENT)
(805) 642-1430
Entity
Organization
Contact information
Practice address
2772 JOHNSON DR, STE 200, VENTURA, CA 93003-8582
(805) 642-1430
(805) 642-1436
Mailing address
2772 JOHNSON DR, STE 200, VENTURA, CA 93003-8582
(805) 642-1430
(805) 642-1436
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
881077
CA
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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