Healthcare Provider Details

I. General information

NPI: 1982251385
Provider Name (Legal Business Name): STERLING CARE PSYCHIATRIC GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 01/28/2020
Certification Date: 01/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E DAILY DR STE 110
CAMARILLO CA
93010-5838
US

IV. Provider business mailing address

601 E DAILY DR STE 110
CAMARILLO CA
93010-5838
US

V. Phone/Fax

Practice location:
  • Phone: 805-485-5051
  • Fax: 805-278-7945
Mailing address:
  • Phone: 805-485-5051
  • Fax: 805-278-7945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: CELIA M WOODS
Title or Position: PRESIDENT
Credential: MD
Phone: 805-485-5051