COUNTY OF VENTURA

NPI # 

Practice Address:

2220 E Gonzales Rd Ste 120A-B

Oxnard, CA, 93036-3707

Practice Phone:

805-981-5151

Practice Fax:

805-981-5150

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