Provider Demographics
NPI:1285137265
Name:VENTURA CLINICAL TRIALS
Entity type:Organization
Organization Name:VENTURA CLINICAL TRIALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SABINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAZAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-200-7436
Mailing Address - Street 1:1835 KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7321
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1835 KNOLL DR
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7321
Practice Address - Country:US
Practice Address - Phone:805-339-0549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch