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NPI Code Detail

MEDICARE: PEAK PREP PLEASANT VALLEY

MEDICARE: PEAK PREP PLEASANT VALLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1194687855
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEAK PREP PLEASANT VALLEY
Provider Business Mailing Address
First Line : 2150 PICKWICK DR # 304
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-9998
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 550 TEMPLE AVE
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-4833
Country : US
Telephone Number : 855-900-7325
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. SHALEN BISHOP
Credential :
Telephone Number : 805-222-0025
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “PEAK PREP PLEASANT VALLEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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