Ojai Valley Community Medical Group | San Dimas, CA • PECOS Search

Ojai Valley Community Medical Group

Contractor

Other Service Providers

955 Overland Ct Fl 2, San Dimas, CA 91773-1718

PECOS Enrollment

Based on the most recent information from CMS, provider Ojai Valley Community Medical Group does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:46 PM.

Profile Details

Provider ID
1447380597
Provider Type
Organization
Full Name
Ojai Valley Community Medical Group

Subpart
No
Enumeration Date
3/7/2007
Last Updated
8/22/2020

Contact Information

Practice Location

955 Overland Ct Fl 2, San Dimas, CA 91773-1718

(909) 971-6763

Mailing Location

PO Box 5010, Covina, CA 91723-0016

(909) 971-6763

Authorized Official

Mcmanus, Jeffrey (Medical Director)

Provider Taxonomies

Code	Description	License
Code 171W00000X Primary	Description Contractor Other Service Providers	License 171W00000X California