St Nazarene Medical Clinic INC
NPI #1275714917 in Oxnard, California
Provider Information
- NPI Number
- 1275714917
- Entity Type
- Organization
- Organization Name
- St Nazarene Medical Clinic INC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 23, 2007
- Last Updated
- Jan 14, 2011
Practice Location
- Address
- 1100 N VENTURA RD
- Address 2
- SUITE 109
- City
- Oxnard
- State
- California
- ZIP Code
- 93030-3841
- Phone
- (805) 983-0547
Authorized Official
- Name
- DR. SUZANNE L FUSSELL, MD
- Title
- PRESIDENT
- Phone
- (805) 983-0547
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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