Healthcare Provider Details

I. General information

NPI: 1831055797
Provider Name (Legal Business Name): NOVA CLOVE PEDRAZA-RYOR NONE
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: NOVA CLOVE PEDRAZA-ALAMILLO NONE

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 VENTURA BLVD STE 126
OXNARD CA
93036-0277
US

IV. Provider business mailing address

221 VENTURA BLVD STE 126
OXNARD CA
93036-0277
US

V. Phone/Fax

Practice location:
  • Phone: 805-254-6249
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: