Organization
VENTURA SPINE AND SPORT MEDICAL CENTER INC.
Active
Organization
VENTURA SPINE AND SPORT MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORA L CHAVEZ (OFFICE MANAGER)
(805) 312-9082
Entity
Organization
Contact information
Practice address
4601 TELEPHONE RD., SUITE 110, VENTURA, CA 93003
(805) 642-4061
(805) 642-7295
Mailing address
4601 TELEPHONE RD STE 110, VENTURA, CA 93003-5671
(805) 642-4061
(805) 642-7295
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
DC27583
CA
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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