Brent Street Family Practice
Brent Street Family Practice provides Family Medicine Physician services in Ventura, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 4
Practice location Address checks out
168 N Brent St Ste 502Ventura, CA 93003-2817
Phone: (805) 641-2000
Fax: (805) 653-1644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence G43925 (CA) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence G40594 (CA) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence G26650 (CA) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence G46052 (CA) |
Record details
| NPI number | 1063565604 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Dodge — President · (805) 641-2000 |
| NPI enumerated | January 18, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 168 N Brent St, Ste 502, Ventura, CA 93003-2817 |
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Stuart M. Bloom, MD
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Veronica W Butler, MD
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Dr. Khozema Hatim Campwala, MD, MPH
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Dr. Joao Paulo Carvalho, MD
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