Basic Information
| Provider Information | |||||||||
| NPI: | 1861635906 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PHYLLIS S. RITCHIE MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1100 W GONZALES RD | ||||||||
| Address2: | |||||||||
| City: | OXNARD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930363336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8052789599 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1100 W GONZALES RD | ||||||||
| Address2: | |||||||||
| City: | OXNARD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930363336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8052789599 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2009 | ||||||||
| LastUpdateDate: | 04/18/2009 | ||||||||
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| AuthorizedOfficialLastName: | MCGASTER | ||||||||
| AuthorizedOfficialFirstName: | YOLANDA | ||||||||
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| AuthorizedOfficialTitleorPosition: | BILLING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7083351848 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | G84220 | CA | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.