Individual
DR. KEN CALVIN HIDAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 LOMA VISTA RD, VENTURA, CA 93003-3101
(805) 641-6434
Mailing address
3418 LOMA VISTA ROAD, SUITE A, VENTURA, CA 93033-3015
(805) 642-8565
(805) 642-8564
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G69422
CA
Other
Enumeration date
11/08/2006
Last updated
10/28/2008
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