Organization
SIMI VALLEY MTU
Active
Parent organization
COUNTY OF VENTURA
Other names
Garden Grove MTU
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF VENTURA
Authorized official
LAURELL MAURO PT (MANAGER)
(805) 981-5223
Entity
Organization
Contact information
Practice address
2250 TRACY AVE, SIMI VALLEY, CA 93063-2753
(805) 584-9501
(805) 520-3571
Mailing address
2250 TRACY AVE, SIMI VALLEY, CA 93063-2753
(805) 584-9501
(805) 520-3571
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCS00018F
MEDICAL
CA
Enumeration date
09/01/2006
Last updated
06/18/2008
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