Organization
BUENAVENTURA MEDICAL GROUP
Active
Other names
Ventura Medical Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES G MALONE (CEO)
(805) 477-6220
Entity
Organization
Contact information
Practice address
888 S HILL RD, VENTURA, CA 93003-8400
(805) 477-6464
(805) 477-6498
Mailing address
2590 E MAIN ST, VENTURA, CA 93003-2619
(805) 477-6464
(805) 477-6498
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0070650
—
CA
Enumeration date
07/04/2006
Last updated
08/22/2020
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