Individual
CRAIG S MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N BRENT ST, STE 301, VENTURA, CA 93003
(805) 648-2763
(805) 653-5639
Mailing address
100 N BRENT ST, STE 301, VENTURA, CA 93003
(805) 653-0101
(805) 641-0434
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A82165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00WA82165A
—
CA
01
—
A82165
STATE OF CA
CA
Enumeration date
09/11/2006
Last updated
06/10/2025
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