Healthcare Provider Details

I. General information

NPI: 1003034844
Provider Name (Legal Business Name): OJAI VALLEY COM HOSPITAL PHCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 09/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 MARICOPA HWY
OJAI CA
93023-3131
US

IV. Provider business mailing address

1306 MARICOPA HWY
OJAI CA
93023-3131
US

V. Phone/Fax

Practice location:
  • Phone: 805-640-2244
  • Fax: 805-646-2498
Mailing address:
  • Phone: 805-640-2244
  • Fax: 805-646-2498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberHSP47202
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LIRON LEPINE
Title or Position: PIC
Credential: PHARM.D.
Phone: 805-640-2244