Healthcare Provider Details

I. General information

NPI: 1285553313
Provider Name (Legal Business Name): ALLISON GRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 TELEPHONE RD STE 117
VENTURA CA
93003-5672
US

IV. Provider business mailing address

4601 TELEPHONE RD STE 117
VENTURA CA
93003-5672
US

V. Phone/Fax

Practice location:
  • Phone: 805-642-7033
  • Fax: 805-852-1857
Mailing address:
  • Phone: 805-642-7033
  • Fax: 805-852-1857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: