Individual
GREGORY K ALBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2841 N VENTURA RD, SUITE 200, OXNARD, CA 93036-2213
(805) 983-6233
(805) 983-2459
Mailing address
2841 N VENTURA RD, SUITE 200, OXNARD, CA 93036-2213
(805) 983-6233
(805) 983-2459
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
20A8760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77-0079544
BLUE CROSS
CA
05
—
GR0098310
—
CA
01
—
P00224835
RR MEDICARE
CA
01
—
ZZZ08582Z
BLUE SHIELD
CA
Enumeration date
06/05/2006
Last updated
02/10/2016
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