Organization
MISSION MEDICAL GROUP, INC.
Active
Other names
Mission Medical Corporation of Ventura County, INc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARINOR CUETO ISIDORO-TORRES M.D. (CEO)
(805) 983-8810
Entity
Organization
Contact information
Practice address
1150 N VENTURA RD, OXNARD, CA 93030-3837
(805) 983-8810
(805) 983-8821
Mailing address
1150 N VENTURA RD, OXNARD, CA 93030-3837
(805) 983-8810
(805) 983-8821
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G63740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G637400
—
CA
Enumeration date
11/21/2006
Last updated
08/02/2011
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