Organization
LA MER PSYCHIATRIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BRUNS M.D. (MEDICAL DIRECTOR)
(805) 388-8330
Entity
Organization
Contact information
Practice address
1901 OUTLET CENTER DR, SUITE 220, OXNARD, CA 93036-0663
(805) 388-8330
(805) 388-8030
Mailing address
PO BOX 201, CAMARILLO, CA 93011-0201
(805) 388-8330
(805) 388-8030
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Enumeration date
11/01/2006
Last updated
09/05/2014
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