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725 E Main St Fl 3 Santa Paula CA 93060-2748 | |
| (805) 933-8440 | |
| (805) 933-0057 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 725 E Main St Fl 3, Santa Paula, California |
| Authorized Official Name and Position | Karen Lee (QUALITY CARE MANAGEMENT) |
| Authorized Official Contact | 8059816830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1911 Williams Dr Ste 200 Oxnard CA 93036-0673 Ph: (805) 981-5478 | 725 E Main St Fl 3 Santa Paula CA 93060-2748 Ph: (805) 933-8440 |
| NPI Number | 1558054304 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558054304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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