Healthcare Provider Details

I. General information

NPI: 1184925851
Provider Name (Legal Business Name): CARMINA CUILTY-MCGEE MS, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2010
Last Update Date: 11/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

682 E THOMPSON BLVD
VENTURA CA
93001-2829
US

IV. Provider business mailing address

716 N VENTURA RD # 290
OXNARD CA
93030-4405
US

V. Phone/Fax

Practice location:
  • Phone: 805-816-2629
  • Fax: 888-816-4697
Mailing address:
  • Phone: 805-816-2629
  • Fax: 888-816-4697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: