Organization
AURORA VISTA DEL MAR, LLC
Active
Other names
AURORA VISTA DEL MAR, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAYLA KREBSBACH (CHIEF EXECUTIVE OFFICER)
(805) 653-6434
Entity
Organization
Contact information
Practice address
801 SENECA ST, VENTURA, CA 93001-1411
(805) 653-6434
(805) 641-0429
Mailing address
801 SENECA ST, VENTURA, CA 93001-1411
(805) 653-6434
(805) 641-0429
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSM34077H
—
CA
05
—
HSP34077H
—
CA
05
—
HSP44077H
—
CA
Enumeration date
04/27/2006
Last updated
08/22/2020
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