Healthcare Provider Details

I. General information

NPI: 1922822360
Provider Name (Legal Business Name): PAMELA DAWN KRAHENBUHL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2024
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 S C ST STE C
OXNARD CA
93033-4573
US

IV. Provider business mailing address

2500 S C ST STE C
OXNARD CA
93033-4573
US

V. Phone/Fax

Practice location:
  • Phone: 805-385-9420
  • Fax:
Mailing address:
  • Phone: 805-385-9420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number6669
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberAII052640125
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: