Organization
IDEAL WOMEN'S HEALTH SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRISAWAI PATTAMAKOM M.D. (OWNER)
(805) 509-3129
Entity
Organization
Contact information
Practice address
2945 LOMA VISTA RD, VENTURA, CA 93003-2915
(805) 509-3129
(805) 667-8404
Mailing address
2945 LOMA VISTA RD, VENTURA, CA 93003-2915
(805) 509-3129
(805) 667-8404
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G080945
CA
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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