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Organization
VENTURA ORTHOPEDICS MEDICAL GROUP, INC.
Active
Organization
VENTURA ORTHOPEDICS MEDICAL GROUP, INC.
Active
Other names
Ventura Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
MINERVA BUTLER CEO, CFO (CHIEF EXECUTIVE OFFICE AND CFO)
(805) 941-0056
Entity
Organization
Contact information
Practice address
3525 LOMA VISTA RD STE A, VENTURA, CA 93003-3165
(805) 641-6415
(805) 641-6424
Mailing address
1203 FLYNN RD UNIT 160, CAMARILLO, CA 93012-6203
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0878110001
MEDICARE - DME (NORIDIAN)
CA
01
—
CP8647
RAILROAD MEDICARE
CA
05
—
ZZZ34334Z
—
CA
Enumeration date
05/20/2006
Last updated
03/12/2026
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