MEDICARE: VENTURA COUNTY CENTER FOR FUNCTIONAL WELLNESS INC

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
1	208100000X	Physical Medicine & Rehabilitation Physician	A108091	CA

General Provider Information

NPI Number	:	1508253469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VENTURA COUNTY CENTER FOR FUNCTIONAL WELLNESS INC

Provider Business Mailing Address
First Line	:	4087 MISSION OAKS BLVD STE B
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93012-5156
Country	:	US
Telephone Number	:	805-484-1077
Fax Number	:	805-484-1079

Provider Business Practice Location Address
First Line	:	4087 MISSION OAKS BLVD STE B
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93012-5156
Country	:	US
Telephone Number	:	805-484-1077
Fax Number	:	805-484-1079

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MELANIE L BROWN
Credential	:
Telephone Number	:	805-484-1077

Provider Enumeration Date	:	04/17/2015
Last Update Date	:	04/17/2015

Similar Medicare Providers

1023724036 — KAREN LATHERS FNP-C
Practice Location Address:

4009 MISSION OAKS BLVD
CAMARILLO, CA
93012-5156

Practice Phone: 805-312-9412
Practice Fax: 844-407-0518

1720003668 — DR. PEZHMAN MANSOURIAN D.D.S.
Practice Location Address:

4015 MISSION OAKS BLVD , SUITE A
CAMARILLO, CA
93012-5156

Practice Phone: 805-987-2701
Practice Fax: 805-987-7092

1689737447 — EDMOND DOOMAN DC
Practice Location Address:

4087 MISSION OAKS BLVD STE B
CAMARILLO, CA
93012-5156

Practice Phone: 805-419-4234
Practice Fax: 805-484-1079

1225168156 — SPRAGUE, PACKHAM & PIZZA DENTAL CORPORATION
Practice Location Address:

4027 MISSION OAKS BLVD
CAMARILLO, CA
93012-5156

Practice Phone: 805-484-1022
Practice Fax: 805-484-3221

1376856880 — JESSICA FENNEWALD APRN
Practice Location Address:

4005 MISSION OAKS BLVD STE A
CAMARILLO, CA
93012-5156

Practice Phone: 805-484-7921
Practice Fax: 816-478-7140

1386092278 — BHUMI DESAI DDS
Practice Location Address:

4021 MISSION OAKS BLVD
CAMARILLO, CA
93012-5156

Practice Phone: 805-738-9400
Practice Fax:

Directions to “VENTURA COUNTY CENTER FOR FUNCTIONAL WELLNESS INC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.