MR. GEORGE STEPHEN FORGENG JR.


Address: 998 Church St, Apt 3, Ventura, CA 93001-2066
Phone: 8184683255

MR. GEORGE STEPHEN FORGENG JR. (NPI# 1760859508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760859508
Entity Type Individual
Full Name MR. GEORGE STEPHEN FORGENG JR.
Credential MSN, PMHNP-BC
Practice Address 998 Church St
Apt 3
Ventura
CA 93001-2066
Mailing Address Po Box 23050
Ventura
CA 93002-3050
Practice Telephone 8184683255
Mailing Telephone 8184683255
Enumeration Date 2015-08-27
Last Update Date 2018-04-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95003946 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 998 CHURCH ST
APT 3
City VENTURA
State CA
Zip Code 93001-2066

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1225163850 Joyce Elaine Weckl Nurse Practitioner 3585 Maple St, Suite # 205, Ventura, CA 93003-3504 2007-02-22

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Competitor

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City VENTURA
Zip Code 93001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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