| Clinicas Del Camino Real, Inc | |
|
4370 Eve Rd Simi Valley CA 93063-2323 | |
| (805) 915-4400 | |
| (805) 915-4401 |
| Full Name | Clinicas Del Camino Real, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4370 Eve Rd, Simi Valley, California |
| Authorized Official Name and Position | Farhad Benharash (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8056591740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinicas Del Camino Real, Inc 200 S Wells Rd Suite 200 Ventura CA 93004-1377 Ph: (805) 659-1740 | Clinicas Del Camino Real, Inc 4370 Eve Rd Simi Valley CA 93063-2323 Ph: (805) 915-4400 |
| NPI Number | 1609291996 |
|---|---|
| Provider Enumeration Date | 02/24/2014 |
| Last Update Date | 06/07/2022 |
| Medicare PECOS PAC ID | 3173434396 |
|---|---|
| Medicare Enrollment ID | O20160210001848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609291996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550003227 (California) | Primary |
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