1669521621 NPI number — DR. ARTURO PABALAN VENTURINA MD

Table of content: DR. ARTURO PABALAN VENTURINA MD (NPI 1669521621)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669521621 NPI number — DR. ARTURO PABALAN VENTURINA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VENTURINA
Provider First Name:
ARTURO
Provider Middle Name:
PABALAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669521621
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
430 E AVENIDA DE LOS ARBOLES
Provider Second Line Business Mailing Address:
CUITE 205
Provider Business Mailing Address City Name:
THOUSAND OAKS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91360-3003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-492-1255
Provider Business Mailing Address Fax Number:
805-241-3496

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
430 E AVENIDA DE LOS ARBOLES
Provider Second Line Business Practice Location Address:
CUITE 205
Provider Business Practice Location Address City Name:
THOUSAND OAKS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91360-3003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-492-1255
Provider Business Practice Location Address Fax Number:
805-241-3496
Provider Enumeration Date:
01/09/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  C42566 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)