| Clinica De Latinos, Inc. | |
|
2362 N Oxnard Blvd Suite 104 Oxnard CA 93036-2047 | |
| (805) 604-7500 | |
| (805) 604-7400 |
| Full Name | Clinica De Latinos, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 2362 N Oxnard Blvd, Oxnard, California |
| Authorized Official Name and Position | Phillip Adrian Ruiz (CEO, CFO, MEDICAL DIRECTOR) |
| Authorized Official Contact | 3233599204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica De Latinos, Inc. 2362 N Oxnard Blvd Suite 104 Oxnard CA 93036-2047 Ph: (805) 604-7500 | Clinica De Latinos, Inc. 2362 N Oxnard Blvd Suite 104 Oxnard CA 93036-2047 Ph: (805) 604-7500 |
| NPI Number | 1144490996 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 03/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144490996 | NPI | - | NPPES |
| 00A445992 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A44599 (California) | Primary |
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