COUNTY OF VENTURA

NPI # 

Practice Address:

3147 Loma Vista Rd

Ventura, CA, 93003-2917

Practice Phone:

058-652-6694

Practice Fax:

805-652-6298

License Number:

H80CS00247

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X