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OXNARD - CAMARILLO PULMONARY AND INTERNAL MEDICINE MEDICAL GROUP NPI 1093705279


NPI Information

NPI: 1093705279
Provider Name: OXNARD - CAMARILLO PULMONARY AND INTERNAL MEDICINE MEDICAL GROUP

Doing Business As: OXNARD - CAMARILLO PULMONARY AND INTERNAL MEDICINE MEDICAL GROUP

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 05D0583847

Address:
703 NORTH A ST
OXNARD, CA
ZIP 93030
Phone: (805) 485-2340
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OXNARD - CAMARILLO PULMONARY AND INTERNAL MEDICINE MEDICAL GROUP is a pulmonary disease internal medicine in Oxnard, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. OXNARD - CAMARILLO PULMONARY AND INTERNAL MEDICINE MEDICAL GROUP NPI is 1093705279. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Oxnard - Camarillo Pulmonary And Internal Medicine Medical Group.

The provider's business location address is:

703 NORTH A ST
OXNARD, CA
ZIP 93030-309
Phone: (805) 485-2340
Fax: (805) 485-1429

The provider's authorized official is Theodore G Hostetler .
The authorized official title is President and has the following contact phone number (805) 485-2340.

The CLIA number assigned to this NPI record is 05D0583847 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 7/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RC0200XInternal MedicineCritical Care MedicineNo
3207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ2801852MEDICAIDCALIFORNIA
2W1153MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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