# CENTRAL COAST VASCULAR, INC.

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

## Provider details

- **NPI number:** 1891855193
- **Authorized official:** DR. CHRISTOPHER SHAWN SKILLERN M.D. (PRESIDENT)
- **Authorized official phone:** (805) 643-3330

## Contact information

- **Practice address:** 100 N BRENT ST, SUITE 201, VENTURA, CA 93003-2822
- **Practice address phone:** (805) 643-3300
- **Practice address fax:** (805) 643-3331
- **Mailing address:** 100 N BRENT ST, SUITE 201, VENTURA, CA 93003-2822
- **Mailing address phone:** (805) 643-3300
- **Mailing address fax:** (805) 643-3331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2006
- **Last updated:** 08/22/2020