Healthcare Provider Details
I. General information
NPI: 1801325303
Provider Name (Legal Business Name): COUNTY OF VENTURA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2017
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2500 S C ST # B2
OXNARD CA
93033-4560
US
IV. Provider business mailing address
2240 E GONZALES RD STE 210
OXNARD CA
93036-8216
US
V. Phone/Fax
- Phone: 805-385-9451
- Fax:
- Phone: 805-677-5210
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083P0901X |
| Taxonomy | Public Health & General Preventive Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TRACY
CHAPMAN
Title or Position: DIRECTOR
Credential:
Phone: 805-677-5150