Organization
DERMATOLOGY MEDICAL GROUP OF OXNARD AND CAMARILLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB E. LAU M.D. (MANAGING PARTNER)
(805) 482-4646
Entity
Organization
Contact information
Practice address
500 PASEO CAMARILLO, SUITE 104, CAMARILLO, CA 93010-5900
(805) 482-4646
(805) 987-2533
Mailing address
500 PASEO CAMARILLO, SUITE 104, CAMARILLO, CA 93010-5900
(805) 482-4646
(805) 987-2533
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
A75621
CA
Other
Enumeration date
08/30/2007
Last updated
05/24/2011
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