Healthcare Provider Details

I. General information

NPI: 1497152755
Provider Name (Legal Business Name): OJAI EMERGENCY PHYSICIANS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2014
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 MARICOPA HWY
OJAI CA
93023-3131
US

IV. Provider business mailing address

PO BOX 920126
DALLAS TX
75392-0126
US

V. Phone/Fax

Practice location:
  • Phone: 805-646-1401
  • Fax:
Mailing address:
  • Phone: 877-346-2211
  • Fax: 626-623-1227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER KOWBLANSKY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 626-447-0296