MEDICARE: BRYAN NAVARRETE

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	390200000X	Student in an Organized Health Care Education/Training Program		CA

General Provider Information

NPI Number	:	1598629180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN NAVARRETE

Provider Business Mailing Address
First Line	:	772 SYCAMORE DR
Second Line	:
City	:	PORT HUENEME
State	:	CA
Zip	:	93041-2646
Country	:	US
Telephone Number	:	805-416-9881
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 CALLE TECATE STE 105
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93012-5283
Country	:	US
Telephone Number	:	805-702-2511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ BRYAN NAVARRETE ” Practice Location

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