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General NPI Number Information
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NPI Number | 1225560600
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Entity Type | Individual
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Provider Name | COLIN MOONEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 2486 N PONDEROSA DR STE D205
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City | CAMARILLO
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State | CA
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Zip | 93010-2471
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Country | US
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Telephone | 805-988-7196
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Fax | 805-988-7197
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Provider Business Mailing Address
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Address Line | 1700 N ROSE AVE STE 430
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City | OXNARD
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State | CA
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Zip | 93030-7657
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Country | US
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Telephone | 805-485-8722
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Fax | 805-485-9311
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A162997
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License Number State | CA
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