Healthcare Provider Details

I. General information

NPI: 1336896547
Provider Name (Legal Business Name): NATHAN OHREN LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2022
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 N VENTURA RD
OXNARD CA
93030-3855
US

IV. Provider business mailing address

35 W MAIN ST STE B-218
VENTURA CA
93001-4500
US

V. Phone/Fax

Practice location:
  • Phone: 805-983-6014
  • Fax:
Mailing address:
  • Phone: 805-509-1164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number131572
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: