Organization
GENERAL SURGERY MEDICAL GROUP OF VENTURA COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY GORDON BRYANT M.D. (MANAGING PARTNER)
(805) 485-8722
Entity
Organization
Contact information
Practice address
1700 N ROSE AVE, SUITE 430, OXNARD, CA 93030-3790
(805) 485-8722
(805) 485-9311
Mailing address
1700 N ROSE AVE, SUITE 430, OXNARD, CA 93030-3790
(805) 485-8722
(805) 485-9311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0027300
—
CA
01
—
YYY49967Y
BLUE SHIELD
CA
Enumeration date
01/05/2006
Last updated
11/13/2008
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