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Organization

ISLAND VIEW GASTROENTEROLOGY ASSOC.

Active
Other names
COVINGTON MENZ LYCHE & LIN MEDICAL GP, ISLAND VIEW GASTROENTEROLOGY ASSOCIATES
Organization subpart
No

Provider details

NPI number
Authorized official
DAWN M IZQUIERDO (MANAGER)
(805) 641-6525
Entity
Organization

Contact information

Practice address
168 N BRENT ST STE 404, VENTURA, CA 93003
(805) 641-6525
(805) 641-6530
Mailing address
168 N BRENT ST STE 404, VENTURA, CA 93003-2824
(805) 641-6525
(805) 641-6530

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1386701787
MANAGER
CA
05
1386701787
CA
05
WA78582A
CA
05
WG232764B
CA
05
WG25356B
CA
05
WG62357C
CA
05
WG83685A
CA
05
WPA18127A
CA
Enumeration date
01/03/2007
Last updated
08/20/2021
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