Organization
NORTHRIDGE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MCCORMACK (CEO)
(818) 444-5273
Entity
Organization
Contact information
Practice address
1901 SOLAR DR, SUITE 265, OXNARD, CA 93036-2641
(805) 988-2280
Mailing address
1901 SOLAR DR, SUITE 265, OXNARD, CA 93036-2641
(805) 988-2280
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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