05D0584090 CLIA NUMBER - EASTERN VENTURA MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D0584090

Facility Name: EASTERN VENTURA MEDICAL GROUP INC

Facility Address:
1980 SEQUOIA AVENUE
SIMI VALLEY, CA
ZIP 93063
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Facility Phone Number: (805) 583-5555

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1417900788

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 05D0584090
LAB Type OTHER
Facility Name EASTERN VENTURA MEDICAL GROUP INC
Street 1980 SEQUOIA AVENUE
City SIMI VALLEY
State CA
ZIP 93063
Phone (805) 583-5555

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This page was last updated on: 1/7/2022