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General NPI Number Information
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NPI Number | 1417580325
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Entity Type | Organization
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Legal Business Name | VENTURA ORTHOPEDICS MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1145 LINDERO CANYON RD STE C1
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-5475
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Country | US
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Telephone | 818-865-9800
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Fax | 818-330-5332
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Provider Business Mailing Address
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Address Line | 1203 FLYNN RD UNIT 160
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City | CAMARILLO
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State | CA
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Zip | 93012-6203
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Country | US
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Telephone | 805-804-4168
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Fax | 805-830-1177
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MINERVA BUTLER
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Credential |
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Telephone | 805-941-0056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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