Organization
HARBOR FAMILY AND PEDIATRIC MEDICAL
Active
Other names
Channel Islands Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN WALTER SMITH M.D. (MEDICAL DIRECTOR)
(805) 477-9922
Entity
Organization
Contact information
Practice address
2755 LOMA VISTA RD, VENTURA, CA 93003-1544
(805) 477-9922
(805) 477-9937
Mailing address
2755 LOMA VISTA RD, VENTURA, CA 93003-1544
(805) 477-9922
(805) 477-9937
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A71919
CA
Other
Enumeration date
01/14/2008
Last updated
01/28/2021
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