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AVANNET INC. NPI 1568797967


NPI Information

NPI: 1568797967
Provider Name: AVANNET, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
79 E DAILY DR STE 179
CAMARILLO, CA
ZIP 93010
Phone: (805) 603-3423
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AVANNET, INC. is a general practice in Camarillo, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee AVANNET, INC. NPI is 1568797967. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

79 E DAILY DR STE 179
CAMARILLO, CA
ZIP 93010-807
Phone: (805) 603-3423
Fax: (805) 233-6636

The provider's authorized official is Deirdre Allison Habermehl .
The authorized official title is President and has the following contact phone number (805) 603-3423.

The enumeration date for this NPI number is 10/2/2009 and was last updated on 10/2/2009.


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
1208D00000XGeneral PracticeG60299CALIFORNIAYes

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
1G60299OTHERCALIFORNIALICENSE NUMBER

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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