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General NPI Number Information
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NPI Number | 1295170090
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Entity Type | Organization
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Legal Business Name | VENTURA PAIN AND SPINE PHYSICIANS
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 1730 S VICTORIA AVE STE 220
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City | VENTURA
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State | CA
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Zip | 93003-6179
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Country | US
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Telephone | 619-933-5775
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Fax | 805-650-5656
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Provider Business Mailing Address
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Address Line | 1730 S VICTORIA AVE STE 220
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City | VENTURA
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State | CA
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Zip | 93003-6179
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Country | US
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Telephone | 805-650-5650
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Fax | 805-650-5656
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEO LOMBARDO
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Credential | MD
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Telephone | 619-933-5775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A110907
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License Number State | CA
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