| Organization Name: | ARBOLADA MEDICAL GROUP |
| NPI Number: | 1154500700 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY EVAN (NURSE PRACTITIONER) |
| Mailing Address: | 1320 Maricopa Hwy Ste E Ojai |
| State: | CA US |
| Postal Code: | 930233154 |
| Phone Number: | 8056460151 |
| Fax Number: | 8056460594 |
| NPI Enumeration Date: | 10/31/2007 |
| NPI Last Update Date: | 10/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | B334482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |