05D0583438 CLIA NUMBER - VISTA DEL MAR MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D0583438

Facility Name: VISTA DEL MAR MEDICAL GROUP INC

Facility Address:
1200 W GONZALES RD #300
OXNARD, CA
ZIP 93030
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Facility Phone Number: (805) 983-0691

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1942239694

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	05D0583438
LAB Type	PHYSICIAN OFFICE
Facility Name	VISTA DEL MAR MEDICAL GROUP INC
Street	1200 W GONZALES RD #300
City	OXNARD
State	CA
ZIP	93030
Phone	(805) 983-0691

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This page was last updated on: 5/11/2023