Healthcare Provider Details

I. General information

NPI: 1881529840
Provider Name (Legal Business Name): VENTURA CARE MEDICAL CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14827 VENTURA BLVD STE 100
SHERMAN OAKS CA
91403-5218
US

IV. Provider business mailing address

14827 VENTURA BLVD STE 100
SHERMAN OAKS CA
91403-5218
US

V. Phone/Fax

Practice location:
  • Phone: 818-855-1962
  • Fax:
Mailing address:
  • Phone: 818-855-1962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: NORRIS HOLLIE
Title or Position: CEO
Credential: MD
Phone: 818-855-1962