COUNTY OF VENTURA

NPI # 

Practice Address:

845 N 10Th St Ste 3

Santa Paula, CA, 93060-1348

Practice Phone:

805-525-0215

Practice Fax:

805-525-8031

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