Healthcare Provider Details

I. General information

NPI: 1962931477
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: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 SOLAR DR STE 250
OXNARD CA
93030-8287
US

IV. Provider business mailing address

2240 E GONZALES RD STE 210
OXNARD CA
93036-8216
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-5201
  • Fax:
Mailing address:
  • Phone: 805-677-5210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: THERESA CHO
Title or Position: DIRECTOR
Credential: MD
Phone: 805-677-5290