Individual
DR. ANTONIO VISCARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1227 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-2871
(805) 582-4000
Mailing address
5855 OLIVAS PARK DR, VENTURA, CA 93003-7672
(805) 667-2801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A101926
CA
Other
Enumeration date
06/14/2008
Last updated
07/18/2023
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