Organization
VENTURA COUNTY NEUROSURGERY ASSOCIATES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUSTAPHA ABOU-SAMRA M.D. (PRESIDENT)
(805) 643-2179
Entity
Organization
Contact information
Practice address
168 N BRENT ST, SUITE 408, VENTURA, CA 93003-2817
(805) 643-2179
(805) 643-0672
Mailing address
168 N BRENT ST, SUITE 408, VENTURA, CA 93003-2817
(805) 643-2179
(805) 643-0672
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A36688
CA
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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