Provider Demographics
NPI:1225560600
Name:MOONEY, COLIN (MD)
Entity type:Individual
Prefix:
First Name:COLIN
Middle Name:
Last Name:MOONEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1700 N ROSE AVE STE 430
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-7657
Mailing Address - Country:US
Mailing Address - Phone:805-485-8722
Mailing Address - Fax:805-485-9311
Practice Address - Street 1:2486 N PONDEROSA DR STE D205
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-2471
Practice Address - Country:US
Practice Address - Phone:805-988-7196
Practice Address - Fax:805-988-7197
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2025-10-02
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Provider Licenses
StateLicense IDTaxonomies
CAA162997208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery