MEDICARE: JEFF ORDONEZ MAGBITANG PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA60265	CA

General Provider Information

NPI Number	:	1861153165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFF ORDONEZ MAGBITANG PA-C

Provider Business Mailing Address
First Line	:	1040 FLYNN RD
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93012-5092
Country	:	US
Telephone Number	:	805-673-3930
Fax Number	:	805-659-3217

Provider Business Practice Location Address
First Line	:	500 E MAIN ST
Second Line	:
City	:	SANTA PAULA
State	:	CA
Zip	:	93060-2607
Country	:	US
Telephone Number	:	805-933-0895
Fax Number	:	805-933-3836

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2022
Last Update Date	:	01/07/2022

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Directions to “ JEFF ORDONEZ MAGBITANG PA-C” Practice Location

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