Individual provider · NPI-1

Dr. John Ippolito, M.D.

Family Medicine · Moorpark, CA

NPI number1376607846
StatusActive
Last updated in NPPESJul 13, 2023

Details

NPI
1376607846
Entity type
Individual (NPI-1)
Name
Dr. John Ippolito
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Dec 20, 2006
Certification date
Jul 13, 2023
Last updated
Jul 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineG78738CAYes

Practice location

612 Spring Rd Bldg A
Moorpark, CA 93021-1298

Phone 805-523-5400

Mailing address

800 S Victoria Ave # L4640
Ventura, CA 93009-3099

Phone 805-677-5146

Other practice locations

825 N 10th St
Santa Paula, CA 93060-1309

Phone 805-933-8632

300 Hillmont Ave
Ventura, CA 93003-1651

Phone 805-652-6000

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