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Joycelyn Vidal, NP
Clinic/Center in Ventura, California
NPI 1477641546

Joycelyn Vidal is a Clinic/Center based in Ventura, CA. Joycelyn Vidal practices in Ventura, CA and has the professional credentials of NP. The NPI Number for Joycelyn Vidal is 1477641546 and holds a License No. 13163 (California).

The current practice location address for Joycelyn Vidal is 5400 Ralston Street, Ventura, CA and can be reached out via phone at 805-963-2445 and via fax at 805-965-6981.

Location: 5400 Ralston Street, Ventura, CA, 93003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477641546
Provider Name
Joycelyn Vidal
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5400 Ralston Street, Ventura, CA, 93003
Phone Number
805-963-2445
Fax Number
805-965-6981
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN5946570 01 CA MEDICAL
institution
Provider Business Practice Location Address Details
Address
5400 Ralston Street
City
Ventura
State
California
Zip
93003
Phone Number
805-963-2445
Fax Number
805-965-6981
person
Provider Business Mailing Address Details
Address
5400 Ralston Street
City
Ventura
State
California
Zip
93003
Phone Number
805-963-2445
Fax Number
805-965-6981
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
594657 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
13163 (California)
Definition
Definition to come...
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