Individual
RETA BIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
655 VENTURA AVE, OAK VIEW, CA 93022-9655
(805) 649-3750
Mailing address
3959 TELEGRAPH RD, VENTURA, CA 93003-3636
(951) 491-1042
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
01/12/2024
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