| Simi Oaks Inc. | |
|
2345 Erringer Rd Suite 106 Simi Valley CA 93065-2235 | |
| (805) 581-4357 | |
| (805) 581-6917 |
| Full Name | Simi Oaks Inc. |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 2345 Erringer Rd, Simi Valley, California |
| Authorized Official Name and Position | Ernest Wilson Federer (OWNER ADMINISTRATOR) |
| Authorized Official Contact | 8055814357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simi Oaks Inc. 67 Cozumel Pl Simi Valley CA 93065-4039 Ph: (805) 581-4357 | Simi Oaks Inc. 2345 Erringer Rd Suite 106 Simi Valley CA 93065-2235 Ph: (805) 581-4357 |
| NPI Number | 1568581346 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568581346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | PSB 30655 (California) | Primary |
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