05D0979069 CLIA NUMBER - MANOJ KHATORE MD, A PROFESSIONAL CORPORATION

Laboratory Demographics

CLIA Number: 05D0979069

Facility Name: MANOJ KHATORE MD, A PROFESSIONAL CORPORATION

Facility Address:
1901 OUTLET CENTER DRIVE, SUITE #260
OXNARD, CA
ZIP 93036
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Facility Phone Number: (805) 604-1824

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1528140639

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	05D0979069
LAB Type	PHYSICIAN OFFICE
Facility Name	MANOJ KHATORE MD, A PROFESSIONAL CORPORATION
Street	1901 OUTLET CENTER DRIVE, SUITE #260
City	OXNARD
State	CA
ZIP	93036
Phone	(805) 604-1824

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