Pcsc 15 Inc

NPI 1073693123 - Clinic/Center - 261QA1903X

NPI Details
NPI 1073693123
Enumeration Date 10/16/2006
Last Updated 04/28/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEITH KEITH
Position ADMINISTRATOR
Phone (805) 644-9001
Fax (805) 654-1103
Practice Location
3805 TELEGRAPH RD
VENTURA CA, 93003-3422, US
Phone (805) 644-9001
Fax (805) 654-1103
Business Location
3805 TELEGRAPH RD
VENTURA CA, 93003-3422, US
Phone (805) 644-9001
Fax (805) 654-1103
Toxanomy
Taxonomy Code 261QA1903X
License State California
License Number 050000581
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According to our database, Pcsc 15 Inc NPI is 1073693123, taxonomy code is 261QA1903X and license number is 050000581, license state is located at California. Pcsc 15 Inc physically located at 3805 Telegraph Rd, Ventura CA, 93003-3422. NPI Number 1033115704 has the healthcare provider type.

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1073693123 NPI number is provided on an as is basis without warranty of any kind. 1073693123 is maintained by the National Plan & Provider Enumeration System. The contents of Pcsc 15 Inc are for informational purposes only.