Healthcare Provider Details

I. General information

NPI: 1760174403
Provider Name (Legal Business Name): MARGARET ERIN PURNELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HILLMONT AVE STE 120
VENTURA CA
93003-1651
US

IV. Provider business mailing address

300 HILLMONT AVE STE 120
VENTURA CA
93003-1651
US

V. Phone/Fax

Practice location:
  • Phone: 805-652-6228
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1760174403
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number1760174403
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: