Provider Demographics
NPI:1073698676
Name:VNS MANAGEMENT CO., INC.
Entity Type:Organization
Organization Name:VNS MANAGEMENT CO., INC.
Other - Org Name:VENTURA COUNTY NEUROSURGICAL ASSOCIATES MEDICAL GROUP, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOUSTAPHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOU-SAMRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-643-2179
Mailing Address - Street 1:168 N BRENT ST
Mailing Address - Street 2:SUITE 408
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-2817
Mailing Address - Country:US
Mailing Address - Phone:805-643-2179
Mailing Address - Fax:
Practice Address - Street 1:168 N BRENT ST
Practice Address - Street 2:SUITE 408
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2817
Practice Address - Country:US
Practice Address - Phone:805-643-2179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty