Individual
DR. KENTARO PRESSLY SUZUKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 LOMA VISTA RD STE A, VENTURA, CA 93003-3165
(805) 641-6415
(805) 641-6424
Mailing address
1203 FLYNN RD UNIT 160, CAMARILLO, CA 93012-6203
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A103754
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A103754
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A103754
STATE LICENSE
CA
Enumeration date
07/18/2008
Last updated
01/20/2026
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