Basic Information
Provider Information
NPI: 1508097288
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SARRANSINGH
FirstName: MARTA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: FELDHOFFER
OtherFirstName: MARTA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 200 S WELLS RD
Address2: SUITE 200
City: VENTURA
State: CA
PostalCode: 930041377
CountryCode: US
TelephoneNumber: 8056591740
FaxNumber: 8056599959
Practice Location
Address1: 200 S WELLS RD
Address2: SUITE 200
City: VENTURA
State: CA
PostalCode: 930041377
CountryCode: US
TelephoneNumber: 8056591740
FaxNumber: 8056599959
Other Information
ProviderEnumerationDate: 07/29/2009
LastUpdateDate: 03/22/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XA114686CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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