Individual
DR. TERRY LIDVIN SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD., FACS
Contact information
Practice address
760 LAS POSAS RD STE C, CAMARILLO, CA 93010-2910
(805) 620-1000
(805) 209-2741
Mailing address
2392 FOSTER AVE, VENTURA, CA 93001-2416
(805) 620-1000
(805) 209-2741
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
21784
AZ
208600000X
Surgery Physician
Primary
G152805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033504
HEALTHNET
AZ
01
—
148256
HEALTHCHOICE
AZ
05
—
148256
—
AZ
01
—
5077480
AETNA
AZ
Enumeration date
11/15/2006
Last updated
01/13/2023
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