Organization
USCG AIRSTA VENTURA
Active
Parent organization
USCG
Organization subpart
Yes
Provider details
NPI number
Legal business name
USCG
Authorized official
RENEE R ESHAM HS1 (HEALTH SERVICES ADMINISTRATOR)
(805) 502-9989
Entity
Organization
Contact information
Practice address
190 3RD STREET, NAVAL AIR STATION POINT MUGU, CA 93042
(805) 874-3260
Mailing address
190 3RD STREET, NAVAL AIR STATION POINT MUGU, CA 93042
(805) 874-3260
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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