Eastern Ventura Medical Group, Inc.
NPI #1417900788 in Simi Valley, California
Provider Information
- NPI Number
- 1417900788
- Entity Type
- Organization
- Organization Name
- Eastern Ventura Medical Group, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 18, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1980 SEQUOIA AVE
- City
- Simi Valley
- State
- California
- ZIP Code
- 93063-3167
- Phone
- (805) 583-5555
Authorized Official
- Name
- DENICE RUSCIGNO
- Title
- ADMINISTRATOR
- Phone
- (805) 583-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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