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Organization
PMK MEDICAL GROUP, INC.
Active
Organization
PMK MEDICAL GROUP, INC.
Active
Other names
Ventura County Hematology Oncology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA RIVERA MBA (FINANCE & QUALITY OFFICER)
(805) 485-8709
Entity
Organization
Contact information
Practice address
1700 N ROSE AVE STE 320, OXNARD, CA 93030-7648
(805) 485-8709
(805) 485-5521
Mailing address
1700 N ROSE AVE, STE 320, OXNARD, CA 93030-7648
(805) 485-8709
(805) 485-5521
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
261QX0200X
Oncology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5628497
NCPDP/NPDS
CA
05
—
GR0064440
—
CA
01
—
W13337
MEDICARE PTAN
—
01
—
ZZZ45387Z
BLUE SHIELD PROVIDER
CA
Enumeration date
05/24/2005
Last updated
05/11/2026
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