Organization
VENTURA URGENT CARE CENTER MEDICAL CORP
Active
Other names
Ventura Ugent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WAGNER IV MD (ADMINISTATOR)
(805) 658-2273
Entity
Organization
Contact information
Practice address
5725 RALSTON ST STE 101, VENTURA, CA 93003-6053
(805) 658-2273
(805) 639-9446
Mailing address
5725 RALSTON ST STE 101, VENTURA, CA 93003-6053
(805) 658-2273
(805) 639-9446
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14141
PTAN
CA
Enumeration date
07/16/2006
Last updated
12/21/2016
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