NPI | 1578750121 |
---|---|
Doing Business As | WELLSPRING FAMILY MEDICAL GROUP OF VENTURA COUNTY |
Entity Type | Organization |
Authorized Contact | JAMES EDWARD HERMANN President 805-639-9332 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-09-27 |
Last Update Date | 2012-09-20 |