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Organization
VENTURA MEDICAL, INC
Active
Organization
VENTURA MEDICAL, INC
Active
Other names
OC VISITING PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM ATTAR-SEYEDI M.D. (OWNER)
(949) 907-7686
Entity
Organization
Contact information
Practice address
3943 IRVINE BLVD, SUITE 120, IRVINE, CA 92602-2400
(949) 900-6992
(949) 900-6993
Mailing address
3943 IRVINE BLVD, SUITE 120, IRVINE, CA 92602-2400
(949) 900-6992
(949) 900-6993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A10469
CA
207R00000X
Internal Medicine Physician
Primary
C52547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EN251A
PTAN
CA
Enumeration date
12/28/2010
Last updated
02/05/2015
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