Organization
CALIFORNIA CARDIOVASCULAR AND THORACIC SURGEONS
Active
Other names
California Cardiac Surgeons - A Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAMAR J. BUSHNELL M.D. (PARTNER)
(805) 643-2375
Entity
Organization
Contact information
Practice address
168 N BRENT ST, SUITE 508, VENTURA, CA 93003-2817
(805) 643-2375
(805) 643-3511
Mailing address
168 N BRENT ST, SUITE 508, VENTURA, CA 93003-2817
(805) 643-2375
(805) 643-3511
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
01/24/2011
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