Provider Demographics
NPI:1598076424
Name:ALGRA, PAUL C (DO)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:C
Last Name:ALGRA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:888 W VENTURA BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-8803
Mailing Address - Country:US
Mailing Address - Phone:805-383-7701
Mailing Address - Fax:805-383-7706
Practice Address - Street 1:1751 LOMBARD STREET
Practice Address - Street 2:#A
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030
Practice Address - Country:US
Practice Address - Phone:805-981-9111
Practice Address - Fax:805-981-8333
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A16180207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty