Ardent Medical Group
Internal Medicine in Camarillo, CA. Organization (NPI-2).
NPI number1487967907
StatusActive
Last updated in NPPESJul 26, 2010
Details
- NPI
- 1487967907
- Entity type
- Organization (NPI-2)
- Legal business name
- Ardent Medical Group
- Organization subpart
- No
- Enumeration date
- Jul 26, 2010
- Last updated
- Jul 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A90331 | CA | Yes |
Practice location
3801 Las Posas RdSuite #211
Camarillo, CA 93010-1427
Phone 805-389-0099 · Fax 805-389-4884
Mailing address
3805 Hedge LnCamarillo, CA 93012-7754
Phone 630-728-2494 · Fax 805-389-4884
Authorized official
Elizabeth Uyen Nguyen
President
6307282494
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