Healthcare Provider Details

I. General information

NPI: 1215864699
Provider Name (Legal Business Name): OXNARD RECOVERY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N VENTURA RD STE 106105
OXNARD CA
93030-3841
US

IV. Provider business mailing address

3031 SHADOW HILL CIR
THOUSAND OAKS CA
91360-1060
US

V. Phone/Fax

Practice location:
  • Phone: 805-889-9108
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CLARENCE EUGENE MCBRIDE III
Title or Position: OWNER
Credential:
Phone: 805-889-9108