COUNTY OF VENTURA

NPI # 

Practice Address:

3801 Las Posas Rd Ste 214

Camarillo, CA, 93010-1426

Practice Phone:

805-437-0900

Practice Fax:

805-987-2878

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