| Ventura Medical, Inc | |
|
3943 Irvine Blvd Suite 120 Irvine CA 92602-2400 | |
| (949) 900-6992 | |
| (949) 900-6993 |
| Full Name | Ventura Medical, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3943 Irvine Blvd, Irvine, California |
| Authorized Official Name and Position | Maryam Attar-seyedi (OWNER) |
| Authorized Official Contact | 9499077686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ventura Medical, Inc 3943 Irvine Blvd Suite 120 Irvine CA 92602-2400 Ph: (949) 900-6992 | Ventura Medical, Inc 3943 Irvine Blvd Suite 120 Irvine CA 92602-2400 Ph: (949) 900-6992 |
| NPI Number | 1952605396 |
|---|---|
| Provider Enumeration Date | 12/28/2010 |
| Last Update Date | 02/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952605396 | NPI | - | NPPES |
| EN251A | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A10469 (California) | Secondary |
| 207R00000X | Internal Medicine | C52547 (California) | Primary |
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