Organization
CENTRAL COAST VASCULAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER SHAWN SKILLERN M.D. (PRESIDENT)
(805) 643-3330
Entity
Organization
Contact information
Practice address
100 N BRENT ST, SUITE 201, VENTURA, CA 93003-2822
(805) 643-3300
(805) 643-3331
Mailing address
100 N BRENT ST, SUITE 201, VENTURA, CA 93003-2822
(805) 643-3300
(805) 643-3331
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/10/2006
Last updated
08/22/2020
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