Provider Demographics
NPI:1952611071
Name:H AND M MEDICAL
Entity Type:Organization
Organization Name:H AND M MEDICAL
Other - Org Name:CENTRO MEDICO-OX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/SOLE PROPIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHOAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-797-4433
Mailing Address - Street 1:PO BOX 5766
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93031-5766
Mailing Address - Country:US
Mailing Address - Phone:877-797-0707
Mailing Address - Fax:708-780-1237
Practice Address - Street 1:132 S A ST STE B
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-5690
Practice Address - Country:US
Practice Address - Phone:877-797-0707
Practice Address - Fax:708-780-1237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010477111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty