Provider Demographics
NPI:1396178208
Name:VETERINARY MEDICAL AND SURGICAL GROUP
Entity Type:Organization
Organization Name:VETERINARY MEDICAL AND SURGICAL GROUP
Other - Org Name:VMSG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HOSPITAL ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:R
Authorized Official - Last Name:BASINAIS
Authorized Official - Suffix:
Authorized Official - Credentials:COO
Authorized Official - Phone:805-339-2290
Mailing Address - Street 1:2199 SPERRY AVE
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7426
Mailing Address - Country:US
Mailing Address - Phone:805-339-2290
Mailing Address - Fax:805-339-2291
Practice Address - Street 1:2199 SPERRY AVE
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7426
Practice Address - Country:US
Practice Address - Phone:805-339-2290
Practice Address - Fax:805-339-2291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHOSP 6048174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Multi-Specialty