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Organization
LEISURE WORLD MANAGED CARE MEDICAL GROUP
Active
Organization
LEISURE WORLD MANAGED CARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN TAYLOR (DIRECTOR OF OPERATIONS)
(805) 604-3324
Entity
Organization
Contact information
Practice address
1901 SOLAR DR, SUITE 270, OXNARD, CA 93036-2641
(805) 604-3324
(805) 988-5160
Mailing address
1901 SOLAR DR, SUITE 270, OXNARD, CA 93036-2641
(805) 604-3324
(805) 988-5160
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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