Healthcare Provider Details

I. General information

NPI: 1447860614
Provider Name (Legal Business Name): HEALTH-E PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2020
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TOWN CENTER DR STE 300
OXNARD CA
93036-1117
US

IV. Provider business mailing address

1000 TOWN CENTER DR STE 300
OXNARD CA
93036-1117
US

V. Phone/Fax

Practice location:
  • Phone: 559-797-1686
  • Fax:
Mailing address:
  • Phone: 559-797-1686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: KELLY MARIE OCHOA
Title or Position: CEO
Credential: MD
Phone: 559-797-1686