COUNTY OF VENTURA

NPI # 

Practice Address:

2000 Outlet Center Dr Ste 110

Oxnard, CA, 93036-0608

Practice Phone:

805-604-4588

Practice Fax:

805-604-7469

License Number:

H80CS00247-06-03

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X