Rose Avenue Family Medical Group A Professional Corporation

LBN: Rose Avenue Family Medical Group A Professional Corporation
Rose Avenue Family Medical Group A Professional Corporation is an health care organization with primary practice located at 451 W Gonzales Rd Ste 230 , Oxnard CA 93036. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Rose Avenue Family Medical Group A Professional Corporation can be contacted via phone (805) 988-1443, or through Soliz, Josephine via phone (805) 988-1443.

Contact Information

Primary practice address
451 W Gonzales Rd Ste 230 Oxnard CA 93036
Fax: (805) 988-0897
Website:
Authorized official contact:
Name: Soliz, Josephine Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1114019015
LBN Legal business name Rose Avenue Family Medical Group A Professional Corporation
DBA Doing business as
Authorized official Soliz, Josephine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Aug 20th, 2018 - about 6 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 1114019015 NPPES
California Other ZZZ38731Z BLUE SHIELD GROUP NUMBER
California MEDICAID GR0028670 BLUE SHIELD GROUP NUMBER

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