Healthcare Provider Details

I. General information

NPI: 1861707770
Provider Name (Legal Business Name): WEST COAST CRITICAL CARE SPECIALISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 OUTLET CENTER DR
OXNARD CA
93036
US

IV. Provider business mailing address

1910 OUTLET CENTER DR
OXNARD CA
93036-0677
US

V. Phone/Fax

Practice location:
  • Phone: 805-485-2400
  • Fax: 805-485-2455
Mailing address:
  • Phone: 805-485-2400
  • Fax: 805-485-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: RAJAN BHATIA
Title or Position: OWNER/CEO
Credential: M.D.
Phone: 805-485-2400