| Simi Family Medical Group | |
|
2750 Sycamore Dr Simi Valley CA 93065-1502 | |
| (805) 527-9140 | |
| Not Available |
| Full Name | Simi Family Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2750 Sycamore Dr, Simi Valley, California |
| Authorized Official Name and Position | Daniel Takeda (DIRECTOR) |
| Authorized Official Contact | 8055279140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simi Family Medical Group 2750 Sycamore Dr Simi Valley CA 93065-1502 Ph: (805) 527-9140 | Simi Family Medical Group 2750 Sycamore Dr Simi Valley CA 93065-1502 Ph: (805) 527-9140 |
| NPI Number | 1689896375 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689896375 | NPI | - | NPPES |
| GR0065680 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G54086 (California) | Primary |
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