IndividualActive
Charles Agustin
NPI 1083238661 · General Practice Registered Nurse · Ventura, CA
Provider details
- NPI number
- 1083238661
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 95077808 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
200 Hillmont Ave
Ventura, CA 93003-1647
Phone: (805) 652-6729
Approximate (ZIP-level) locationGet directions
Mailing address
200 Hillmont Ave
Ventura, CA 93003-1647
Registry dates
- Enumerated
- 2020-05-30
- Last updated
- 2020-05-30
- Certified
- 2020-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.