Organization
PENFIELD MTU
Active
Parent organization
COUNTY OF VENTURA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF VENTURA
Authorized official
LAURELL MAURO PT (MANAGER)
(805) 981-5223
Entity
Organization
Contact information
Practice address
640 JAZMIN AVE, VENTURA, CA 93004-1828
(805) 647-0310
(805) 659-2671
Mailing address
640 JAZMIN AVE, VENTURA, CA 93004-1828
(805) 647-0310
(805) 659-2671
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCS00017F
MEDICAL
CA
Enumeration date
08/31/2006
Last updated
06/18/2008
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