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Organization

DMG AND ASSOC

Active
Other names
Alternative Action Programs
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS MICHAEL GIROUX CEO (CEO)
(805) 988-1112
Entity
Organization

Contact information

Practice address
314 WEST 4TH STREET, OXNARD, CA 93030-1165
(805) 988-1112
(805) 988-4883
Mailing address
314 W 4TH ST, OXNARD, CA 93030-5910
(805) 988-1112
(805) 988-4883

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
560028AP
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56AF
MEDI CAL
CA
Enumeration date
02/28/2008
Last updated
09/10/2008
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