COUNTY OF VENTURA

NPI # 

Practice Address:

1334 E Main St

Santa Paula, CA, 93060-2926

Practice Phone:

805-933-1122

Practice Fax:

805-933-0522

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