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Organization

INTERNAL MEDICINE & PEDIATRICS PRIVATE PRACTICE, A MEDICAL CORPORATION

Active
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Organization

INTERNAL MEDICINE & PEDIATRICS PRIVATE PRACTICE, A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAGU NATHAN J.D. (MANAGER)
(818) 671-7700
Entity
Organization

Contact information

Practice address
3687 LAS POSAS RD, SUITE H-187, CAMARILLO, CA 93010-1482
(805) 445-4189
(805) 445-9219
Mailing address
3687 LAS POSAS RD, SUITE H-187, CAMARILLO, CA 93010-1482
(805) 445-4189
(805) 445-9219

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A053595
CA
208000000X
Pediatrics Physician
A053595
CA

Other

Enumeration date
12/04/2007
Last updated
12/04/2007
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