NPI 1003634353

Medigrade LLC

Organisation Preferred Provider Organization Oxnard, CA

Practice location

Address: 1889 N Rice Ave STE 201, Oxnard, CA 93030-7989
Phone: (833) 702-5508
Mailing address: 1309 Coffeen Ave STE 4515, Sheridan, WY 82801-5777

Authorised official

Name: Richard Heimann
Title: Medical Director
Phone: (818) 371-9466

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in California →

Registry record

NPI: 1003634353
Entity type: Organization
NPI issued: 26 Sep 2024
Record last updated: 26 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.