Provider Demographics
NPI:1093753931
Name:OXNARD ADVANCED DIAGNOSTIC, INC.
Entity Type:Organization
Organization Name:OXNARD ADVANCED DIAGNOSTIC, INC.
Other - Org Name:OXNARD ADVANCED DIAGNOSTIC, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-487-2606
Mailing Address - Street 1:650 HOBSON WAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-6706
Mailing Address - Country:US
Mailing Address - Phone:805-487-2606
Mailing Address - Fax:805-487-2602
Practice Address - Street 1:650 HOBSON WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-6706
Practice Address - Country:US
Practice Address - Phone:805-487-2606
Practice Address - Fax:805-487-2602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic