Healthcare Provider Details

I. General information

NPI: 1144714973
Provider Name (Legal Business Name): JOHN NUHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2018
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HILLMONT AVE, BLDG 340, SUITE 201
VENTURA CA
93003
US

IV. Provider business mailing address

300 HILLMONT AVE
VENTURA CA
93003-1651
US

V. Phone/Fax

Practice location:
  • Phone: 805-652-6100
  • Fax: 805-652-3252
Mailing address:
  • Phone: 805-652-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA166432
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: