Organization · Type 2 NPI

Harbor Family and Pediatric Medical

Specialist · Ventura, CA

NPI number 1679759286 Active

Practice location

2755 Loma Vista Rd
Ventura, CA 93003-1544

Fax (805) 477-9937

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	A71919 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5 other providers at this address

Other specialist providers in Ventura

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NPI record

NPI: 1679759286
Entity type: Organization (Type 2)
Issued: Jan 14, 2008
Last updated: Jan 28, 2021
Status: Active

Other names

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Channel Islands Medical Group · doing business as
Channel Islands Medical Group · doing business as

Authorized official

Dr. Dean Walter Smith, MD
Medical Director
(805) 477-9922

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679759286

Harbor Family and Pediatric Medical's National Provider Identifier is 1679759286, issued on Jan 14, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ventura, CA. The record was last updated on Jan 28, 2021.