| Moorpark Family Medicine Inc | |
|
301 Science Dr Suite #190 Moorpark CA 93021-2094 | |
| (805) 531-9400 | |
| (805) 531-9499 |
| Full Name | Moorpark Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 301 Science Dr, Moorpark, California |
| Authorized Official Name and Position | Jonathan Andrew Rosaasen (PRESIDENT) |
| Authorized Official Contact | 9096484004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moorpark Family Medicine Inc 301 Science Dr Suite #190 Moorpark CA 93021-2094 Ph: (805) 531-9400 | Moorpark Family Medicine Inc 301 Science Dr Suite #190 Moorpark CA 93021-2094 Ph: (805) 531-9400 |
| NPI Number | 1295904936 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 02/06/2009 |
| Medicare PECOS PAC ID | 5597825851 |
|---|---|
| Medicare Enrollment ID | O20081118000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295904936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jonathan A Rosaasen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528171352 PECOS PAC ID: 1355364118 Enrollment ID: I20060106000447 |
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