Channel Island Obstetrics And Gynecologic Medical Group
LBN: Channel Island Obstetrics And Gynecologic Medical Group
Channel Island Obstetrics And Gynecologic Medical Group is an health care organization with primary practice located at 2486 Ponderosa Dr North Ste D202 , Camarillo CA 93010. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty.
Channel Island Obstetrics And Gynecologic Medical Group can be contacted via phone (805) 482-4641, or through Carter, Stephen P. via phone (805) 482-4641.
Contact Information
Primary practice address
2486 Ponderosa Dr North Ste D202
Camarillo CA 93010
Phone: (805) 482-4641
Fax: (805) 388-8751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X |
Profile Details
| NPI number | 1598754780 |
|---|---|
| LBN Legal business name | Channel Island Obstetrics And Gynecologic Medical Group |
| DBA Doing business as | |
| Authorized official | Carter, Stephen P. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598754780 | NPPES |
| California | MEDICAID | GR0087730 |
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