Provider First Line Business Practice Location Address:
3291 LOMA VISTA RD
Provider Second Line Business Practice Location Address:
VENTURA COUNTY MEDICAL CENTER
Provider Business Practice Location Address City Name:
VENTURA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-648-9980
Provider Business Practice Location Address Fax Number:
805-648-9870
Provider Enumeration Date:
08/31/2007