Organization
VENTURA EAR NOSE & THROAT MED GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARMIN ALAVI (OWNER)
(805) 648-3320
Entity
Organization
Contact information
Practice address
3555 LOMA VISTA RD STE 200, VENTURA, CA 93003-3161
(056) 483-3208
(805) 648-2659
Mailing address
3555 LOMA VISTA RD STE 200, VENTURA, CA 93003-3161
(056) 483-3208
(805) 648-2659
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C27589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13309
RAILROAD MEDICARE
—
05
—
GR0066460
—
CA
01
—
ZZZ97008Z
BLUE SHIELD OF CALIFORNIA
—
Enumeration date
08/11/2005
Last updated
06/11/2019
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