Provider Demographics
NPI:1427075118
Name:HENRY A OSTER, MD, INC
Entity type:Organization
Organization Name:HENRY A OSTER, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-656-6272
Mailing Address - Street 1:100 N BRENT ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-2822
Mailing Address - Country:US
Mailing Address - Phone:805-656-6272
Mailing Address - Fax:805-656-3863
Practice Address - Street 1:100 N BRENT ST
Practice Address - Street 2:SUITE 103
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2822
Practice Address - Country:US
Practice Address - Phone:805-656-6272
Practice Address - Fax:805-656-3863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG33690207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA45642Medicare UPIN
CAG33690Medicare ID - Type UnspecifiedSTATE LICENSE