VENTANA HEALTH AND MEDICAL CENTER NPI 1699758565

NPI Information

VENTANA HEALTH AND MEDICAL CENTER is a family medicine in Pismo Beach, CA. The provider is 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. VENTANA HEALTH AND MEDICAL CENTER NPI is 1699758565. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

901 OAK PARK BLVD
SUITE 101
PISMO BEACH, CA
ZIP 93449-216
Phone: (805) 489-2205
Fax: (805) 489-2206

The provider's authorized official is Megan M Ellman .
The authorized official title is Vp and has the following contact phone number (805) 489-2205.

The CLIA number assigned to this NPI record is 05D2164485 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 11/10/2010.

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:

Other Identifiers

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