National Provider Identifier Database

JEFFREY K LUTTRULL M D A PROFESSIONAL CORPORATION
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

JEFFREY K. LUTTRULL, M. D. A PROFESSIONAL CORPORATION
3160 TELEGRAPH RD STE 230
VENTURA, CA93003-3252
Phone: 805-650-0664
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for JEFFREY K. LUTTRULL, M. D. A PROFESSIONAL CORPORATION

NPI Number 1003084674
Legal business name
LBN
JEFFREY K. LUTTRULL, M. D. A PROFESSIONAL CORPORATION
Authorized official JEFFREY LUTTRULL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/15/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Other: 7015319 MEDI-CAL

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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