Obv at Fillmore, INC
NPI #1437149549 in Fillmore, California
Provider Information
- NPI Number
- 1437149549
- Entity Type
- Organization
- Organization Name
- Obv at Fillmore, INC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Oct 28, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1371 BLUEJAY ST
- City
- Fillmore
- State
- California
- ZIP Code
- 93015-1666
- Phone
- (805) 525-8900
Authorized Official
- Name
- ANANIAS EDUARDO GONZALEZ
- Title
- PRESIDENT/CEO
- Phone
- (805) 525-8900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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