Penfield Mtu

LBN: Penfield Mtu
Penfield Mtu is an health care organization with primary practice located at 640 Jazmin Ave , Ventura CA 93004-1828. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Penfield Mtu can be contacted via phone (805) 647-0310, or through Mauro, Laurell via phone (805) 981-5223.

Contact Information

Primary practice address
640 Jazmin Ave Ventura CA 93004-1828
Phone: (805) 647-0310
Fax: (805) 659-2671
Website:
Map and Directions
Authorized official contact:
Name: Mauro, Laurell Physical Therapist (PT)
Phone: (805) 981-5223

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1740392992
LBN Legal business name Penfield Mtu
DBA Doing business as
Authorized official Mauro, Laurell Physical Therapist (PT)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jun 18th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740392992 NPPES
California Other CCS00017F MEDICAL

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