Healthcare Provider Details

I. General information

NPI: 1710039771
Provider Name (Legal Business Name): OXNARD HUENEME OBGYN MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 SOLAR DR. SUITE 251
OXNARD CA
93030-0151
US

IV. Provider business mailing address

1801 SOLAR DR SUITE 251
OXNARD CA
93030-8234
US

V. Phone/Fax

Practice location:
  • Phone: 805-988-6688
  • Fax: 805-328-5177
Mailing address:
  • Phone: 805-988-6688
  • Fax: 805-328-5177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JULIAN CHIANG
Title or Position: PARTNER
Credential: M.D.
Phone: 805-988-6688