| Moorpark Family Medical Clinic Fqhc | |
|
612 Spring Rd Moorpark CA 93021-1298 | |
| (805) 523-5400 | |
| Not Available |
| Full Name | Moorpark Family Medical Clinic Fqhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 612 Spring Rd, Moorpark, 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 |
|---|---|
| Moorpark Family Medical Clinic Fqhc 800 S Victoria Ave # L4615 Ventura CA 93009-0003 Ph: (805) 677-5210 | Moorpark Family Medical Clinic Fqhc 612 Spring Rd Moorpark CA 93021-1298 Ph: (805) 523-5400 |
| NPI Number | 1174764021 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 09/05/2019 |
| Medicare PECOS PAC ID | 7911810171 |
|---|---|
| Medicare Enrollment ID | O20090803000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174764021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | H80CS00247-06-03 (California) | Primary |
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