Healthcare Provider Details

I. General information

NPI: 1407906027
Provider Name (Legal Business Name): AUGUSTO EDUARDO FOCIL M.D.,M.P.H.,CCD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S A ST #105
OXNARD CA
93030-5822
US

IV. Provider business mailing address

300 S A ST #105
OXNARD CA
93030-5822
US

V. Phone/Fax

Practice location:
  • Phone: 805-486-6565
  • Fax: 805-486-0740
Mailing address:
  • Phone: 805-486-6565
  • Fax: 805-486-0740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA44207
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA44207
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberA44207
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: