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Contact Information

USCG AIRSTA VENTURA
190 3RD STREET
NAVAL AIR STATION POINT MUGU, CA93042
 Phone: 805-874-3260
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for USCG AIRSTA VENTURA

NPI Number 1679451488
LBN Legal business name USCG AIRSTA VENTURA
Authorized official RENEE ESHAM - (HEALTH SERVICES ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/21/2025
Last updated 08/21/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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