Healthcare Provider Details

I. General information

NPI: 1417937467
Provider Name (Legal Business Name): CHRISTINE HAROUT DUMONT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 03/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 E GONZALES RD
OXNARD CA
93036-8210
US

IV. Provider business mailing address

3291 LOMA VISTA RD
VENTURA CA
93003-3099
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-5161
  • Fax:
Mailing address:
  • Phone: 805-981-5161
  • Fax: 805-981-5181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A8575
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: