Organization
OXNARD EYE ASSOCIATES MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANJAY LOGANI M.D. (PRESIDENT AND CEO)
(818) 886-6700
Entity
Organization
Contact information
Practice address
351 S B ST, OXNARD, CA 93030-5806
(805) 240-1650
(805) 240-1953
Mailing address
17750 SHERMAN WAY.,, SUITE 100, RESEDA, CA 91335
(818) 886-6700
(818) 886-6709
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT015370TLG
CA
207W00000X
Ophthalmology Physician
Primary
G73456
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104300
—
CA
Enumeration date
08/16/2006
Last updated
03/17/2018
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