Individual
THOMAS D FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 LOMA VISTA RD, STE 100, VENTURA, CA 93003-2920
(805) 648-5191
(805) 648-3458
Mailing address
2900 LOMA VISTA RD STE 100, VENTURA, CA 93003-2909
(805) 648-5191
(805) 648-3458
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G54921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G549210
—
CA
05
—
1619969524
—
CA
Enumeration date
08/17/2005
Last updated
08/05/2022
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