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DIGNITY HEALTH MEDICAL FOUNDATION NPI 1386937977


NPI Information

NPI: 1386937977
Provider Name: DIGNITY HEALTH MEDICAL FOUNDATION

Doing Business As: DIGNITY HEALTH MEDICAL GROUP - VENTURA COUNTY, A SERVICE OF DIGNITY HE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D1077471

Address:
5051 VERDUGO WAY STE 100
CAMARILLO, CA
ZIP 93012
Phone: (805) 384-8071
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DIGNITY HEALTH MEDICAL FOUNDATION is a multi-specialty clinic center in Camarillo, CA. DIGNITY HEALTH MEDICAL FOUNDATION NPI is 1386937977. The provider is registered as an organization entity type.
The provider Is Doing Business As Dignity Health Medical Group - Ventura County, A Service Of Dignity He.

The provider's business location address is:

5051 VERDUGO WAY STE 100
CAMARILLO, CA
ZIP 93012-681
Phone: (805) 384-8071
Fax: (805) 987-1927

The provider's authorized official is Theresa M Hylen .
The authorized official title is Chief Financial Officer and has the following contact phone number (916) 851-2559.

The CLIA number assigned to this NPI record is 05D1077471 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2011 and was last updated on 11/18/2020.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 4/28/2024

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