Provider Demographics
NPI:1891670832
Name:VERDIN, OSCAR (PPS)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:VERDIN
Suffix:
Gender:M
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 SOLAR DR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-2655
Mailing Address - Country:US
Mailing Address - Phone:805-278-2903
Mailing Address - Fax:
Practice Address - Street 1:1400 RAIDERS WAY
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-5699
Practice Address - Country:US
Practice Address - Phone:805-278-2903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA230138640101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor