Organization
JOHN PADOUR MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PADOUR MD (PHYSICIAN)
(805) 641-1800
Entity
Organization
Contact information
Practice address
148 N BRENT ST STE 201, VENTURA, CA 93003-2818
(805) 641-1800
(805) 653-7468
Mailing address
148 N BRENT ST STE 201, VENTURA, CA 93003-2818
(805) 641-1800
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
A36934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A36934
—
CA
Enumeration date
01/15/2018
Last updated
01/15/2018
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