| Ventana Health And Medical Center | |
|
901 Oak Park Blvd Suite 101 Pismo Beach CA 93449-3408 | |
| (805) 489-2205 | |
| Not Available |
| Full Name | Ventana Health And Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 901 Oak Park Blvd, Pismo Beach, California |
| Authorized Official Name and Position | Jeff Koury (SVP REGIONAL OPERATIONS; TENET) |
| Authorized Official Contact | 7144286842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ventana Health And Medical Center Po Box 748263 Los Angeles CA 90074-8063 Ph: (805) 489-2205 | Ventana Health And Medical Center 901 Oak Park Blvd Suite 101 Pismo Beach CA 93449-3408 Ph: (805) 489-2205 |
| NPI Number | 1215376496 |
|---|---|
| Provider Enumeration Date | 06/20/2013 |
| Last Update Date | 06/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215376496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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