Individual
DR. TOM CHARLES DE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 N VENTURA RD, OXNARD, CA 93036-1150
(805) 988-8728
(805) 278-3310
Mailing address
3929 LAGUNA BLANCA DR, SANTA BARBARA, CA 93110-2133
(805) 682-3210
(805) 682-2670
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
C25607
CA
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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