Basic Information
| Provider Information | |||||||||
| NPI: | 1538474093 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAPADIA | ||||||||
| FirstName: | ASHMEETA | ||||||||
| MiddleName: | PRAFUL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2323 KNOLL DR | ||||||||
| Address2: | SUITE 219 | ||||||||
| City: | VENTURA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930037307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8055824000 | ||||||||
| FaxNumber: | 8055796082 | ||||||||
| Practice Location | |||||||||
| Address1: | 1227 E LOS ANGELES AVE | ||||||||
| Address2: | |||||||||
| City: | SIMI VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930652871 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8055824000 | ||||||||
| FaxNumber: | 8055796082 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2010 | ||||||||
| LastUpdateDate: | 01/22/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A122545 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.