Organization
VENTURA ORTHOPEDIC SPINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL SMALL D.O. (PRESIDENT)
(805) 648-3902
Entity
Organization
Contact information
Practice address
168 N BRENT ST, SUITE 505, VENTURA, CA 93003-2840
(805) 648-3902
(805) 648-4014
Mailing address
168 N BRENT ST, SUITE 505, VENTURA, CA 93003-2840
(805) 648-3902
(805) 648-4014
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
20A4466
CA
Other
Enumeration date
09/28/2012
Last updated
03/23/2017
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