Organization
CARDIOVASCULAR & THORACIC SURGEONS OF VENTURA COUNTY, APC
Active
Other names
Richard J Declusin, MD, PhD, APC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JOHN DECLUSIN MD (PRESIDENT)
(805) 988-2033
Entity
Organization
Contact information
Practice address
1700 N ROSE AVE, STE 420, OXNARD, CA 93030-7656
(805) 988-2033
(805) 983-6839
Mailing address
1700 N ROSE AVE, STE 420, OXNARD, CA 93030-7656
(805) 988-2033
(805) 983-6839
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0087650
—
CA
01
—
ZZZ07779Z
BLUE SHIELD
—
Enumeration date
05/27/2006
Last updated
08/22/2020
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