| Camino Health Center | |
|
22481 Aspan St Ste A Lake Forest CA 92630-1630 | |
| (949) 240-2030 | |
| (949) 429-7627 |
| Full Name | Camino Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 22481 Aspan St Ste A, Lake Forest, California |
| Authorized Official Name and Position | Garth Jorgensen (FINANCIAL SERVICES DIRECTOR) |
| Authorized Official Contact | 9492402030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camino Health Center 30300 Camino Capistrano San Juan Capistrano CA 92675-1304 Ph: (949) 240-2030 | Camino Health Center 22481 Aspan St Ste A Lake Forest CA 92630-1630 Ph: (949) 240-2030 |
| NPI Number | 1194274811 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 09/22/2016 |
| Medicare PECOS PAC ID | 2264480292 |
|---|---|
| Medicare Enrollment ID | O20170421001374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194274811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 060000060 (California) | Primary |
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