| Lovell Domain | |
|
2361 E Vineyard Ave Oxnard CA 93036-2102 | |
| (805) 981-3770 | |
| Not Available |
| Full Name | Lovell Domain |
|---|---|
| Speciality | Dentist |
| Location | 2361 E Vineyard Ave, Oxnard, California |
| Authorized Official Name and Position | Brigitte V Lovell (PRESIDENT) |
| Authorized Official Contact | 9152279412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lovell Domain 5855 Olivas Park Dr Ventura CA 93003-7672 Ph: (805) 667-2801 | Lovell Domain 2361 E Vineyard Ave Oxnard CA 93036-2102 Ph: (805) 981-3770 |
| NPI Number | 1518448109 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 05/28/2020 |
| Certification Date | 05/28/2020 |
| Medicare PECOS PAC ID | 6608129150 |
|---|---|
| Medicare Enrollment ID | O20190325001568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518448109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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