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NPI Code Detail

MEDICARE: REBECCA PANMAN PPS

MEDICARE:   REBECCA  PANMAN  PPS
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
1103TS0200XSchool Psychologist250097907CA

General Provider Information

NPI Number : 1760339865
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA PANMAN PPS
Provider Business Mailing Address
First Line : 3535 VILLAGE AT THE PARK DR
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-7788
Country : US
Telephone Number : 805-383-5350
Fax Number :
Provider Business Practice Location Address
First Line : 600 TEMPLE AVE
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-4835
Country : US
Telephone Number : 805-383-5350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ REBECCA PANMAN PPS” Practice Location

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