Aesthetics Medical Management
Family Medicine in Camarillo, CA. Organization (NPI-2).
NPI number1437788080
StatusActive
Last updated in NPPESApr 6, 2020
Details
- NPI
- 1437788080
- Entity type
- Organization (NPI-2)
- Legal business name
- Aesthetics Medical Management
- Organization subpart
- No
- Enumeration date
- Apr 6, 2020
- Certification date
- Apr 6, 2020
- Last updated
- Apr 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2475 Ventura BlvdCamarillo, CA 93010-6650
Phone 805-991-0202
Mailing address
2475 Ventura BlvdCamarillo, CA 93010-6650
Authorized official
Kurt Tamaru
Owner
8059910202
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