Healthcare Provider Details

I. General information

NPI: 1093678005
Provider Name (Legal Business Name): SHUJAA PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 S VENTURA RD
OXNARD CA
93033-3019
US

IV. Provider business mailing address

1421 S VENTURA RD
OXNARD CA
93033-3019
US

V. Phone/Fax

Practice location:
  • Phone: 805-754-4415
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name: SALIM SHUA
Title or Position: OWNER
Credential:
Phone: 805-754-4415