Organization
ST NAZARENE MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE L FUSSELL MD (PRESIDENT)
(805) 983-0547
Entity
Organization
Contact information
Practice address
1100 N VENTURA RD, SUITE 109, OXNARD, CA 93030-3841
(805) 983-0547
(805) 983-0423
Mailing address
1100 NORTH VENTURA RD, SUITE 109, OXNARD, CA 93030-3814
(805) 983-0547
(805) 983-0423
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A055383
CA
Other
Enumeration date
11/23/2007
Last updated
01/14/2011
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