Provider Demographics
NPI:1295882686
Name:VALLEY CARE PHYSICIANS IPA MEDICAL ASSOCIATES, INC
Entity type:Organization
Organization Name:VALLEY CARE PHYSICIANS IPA MEDICAL ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-278-6818
Mailing Address - Street 1:1901 SOLAR DR STE 215
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-2643
Mailing Address - Country:US
Mailing Address - Phone:805-988-2280
Mailing Address - Fax:805-988-5160
Practice Address - Street 1:1901 SOLAR DR STE 215
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2643
Practice Address - Country:US
Practice Address - Phone:805-988-2280
Practice Address - Fax:805-988-5160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization