Organization
LEISURE WORLD MANAGED CARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN TAYLOR (DIRECTOR OF OPERATIONS)
(805) 604-3324
Entity
Organization
Contact information
Practice address
1901 SOLAR DR, SUITE 270, OXNARD, CA 93036-2641
(805) 604-3324
(805) 988-5160
Mailing address
1901 SOLAR DR, SUITE 270, OXNARD, CA 93036-2641
(805) 604-3324
(805) 988-5160
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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