Dermatology Medical Group Of Oxnard And Camarillo
Dermatology, Dermatopathology in Camarillo, CA. Organization (NPI-2).
NPI number1063606242
StatusActive
Last updated in NPPESMay 24, 2011
Details
- NPI
- 1063606242
- Entity type
- Organization (NPI-2)
- Legal business name
- Dermatology Medical Group Of Oxnard And Camarillo
- Organization subpart
- No
- Enumeration date
- Aug 30, 2007
- Last updated
- May 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0900X | Dermatology, Dermatopathology | A75621 | CA | Yes |
Practice location
500 Paseo CamarilloSuite 104
Camarillo, CA 93010-5900
Phone 805-482-4646 · Fax 805-987-2533
Mailing address
500 Paseo CamarilloSuite 104
Camarillo, CA 93010-5900
Phone 805-482-4646 · Fax 805-987-2533
Authorized official
Jacob E. Lau
Managing Partner
8054824646
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