| Las Islas Family Medical Group | |
|
325 W. Channel Islands Blvd. Oxnard CA 93033 | |
| (805) 204-9520 | |
| (805) 240-2128 |
| Full Name | Las Islas Family Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 325 W. Channel Islands Blvd., Oxnard, California |
| Authorized Official Name and Position | William Foley (DIRECTOR) |
| Authorized Official Contact | 8056775272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Islas Family Medical Group 800 S Victoria Ave # L4615 Ventura CA 93009-0003 Ph: (805) 677-5210 | Las Islas Family Medical Group 325 W. Channel Islands Blvd. Oxnard CA 93033 Ph: (805) 204-9520 |
| NPI Number | 1508187329 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 09/05/2019 |
| Medicare PECOS PAC ID | 7911810171 |
|---|---|
| Medicare Enrollment ID | O20101011000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508187329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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