| Susan Pembroke | |
|
500 E Esplanade Dr Suite 360 Oxnard CA 93036-2110 | |
| (805) 278-9585 | |
| (805) 659-4401 |
| Full Name | Susan Pembroke |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 500 E Esplanade Dr, Oxnard, California |
| Authorized Official Name and Position | Susan K. Pembroke (SOLE PROPRIETOR) |
| Authorized Official Contact | 8052789585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Pembroke 500 E Esplanade Dr Suite 360 Oxnard CA 93036-2110 Ph: (805) 278-9585 | Susan Pembroke 500 E Esplanade Dr Suite 360 Oxnard CA 93036-2110 Ph: (805) 278-9585 |
| NPI Number | 1588713689 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588713689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC29817 (California) | Primary |
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