Healthcare Provider Details

I. General information

NPI: 1437211687
Provider Name (Legal Business Name): CHERYL HARRIS GEER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 04/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 ROSEWOOD AVE STE C
CAMARILLO CA
93010-5930
US

IV. Provider business mailing address

PO BOX 7628
WESTLAKE VILLAGE CA
91359-7628
US

V. Phone/Fax

Practice location:
  • Phone: 805-482-2634
  • Fax: 805-384-9335
Mailing address:
  • Phone: 805-482-2634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VC0200X
TaxonomyCritical Care Medicine (Obstetrics & Gynecology) Physician
License Number20A6662
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number20A6662
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number20A6662
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: