Provider Demographics
NPI:1679251995
Name:ADDICTION MEDICINE SERVICES OF VENTURA COUNTY, INC.
Entity Type:Organization
Organization Name:ADDICTION MEDICINE SERVICES OF VENTURA COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:ANGELO
Authorized Official - Last Name:NAPOLITANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-389-8192
Mailing Address - Street 1:91 CALETA DR
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-5105
Mailing Address - Country:US
Mailing Address - Phone:805-389-8192
Mailing Address - Fax:323-978-1857
Practice Address - Street 1:91 CALETA DR
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-5105
Practice Address - Country:US
Practice Address - Phone:805-389-8192
Practice Address - Fax:323-978-1857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Single Specialty