Organization
STEVEN VINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN VINES D.P.M. (OWNER)
(805) 485-3151
Entity
Organization
Contact information
Practice address
1100 W GONZALES RD, SUITE 108, OXNARD, CA 93036-3336
(805) 485-3151
Mailing address
1100 W GONZALES RD, SUITE 108, OXNARD, CA 93036-3336
(805) 485-3151
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
E2291
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4247000001
DMERC
CA
Enumeration date
02/20/2008
Last updated
03/07/2008
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