| Clinicas Del Camino Real Inc El Rio | |
|
2600 E Vineyard Ave Oxnard CA 93036-1615 | |
| (805) 436-3444 | |
| (805) 485-4160 |
| Full Name | Clinicas Del Camino Real Inc El Rio |
|---|---|
| Speciality | Clinic/Center |
| Location | 2600 E Vineyard Ave, Oxnard, California |
| Authorized Official Name and Position | Farhad Benharash (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8056591740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinicas Del Camino Real Inc El Rio 200 S Wells Rd Suite 200 Ventura CA 93004-1377 Ph: (805) 659-1740 | Clinicas Del Camino Real Inc El Rio 2600 E Vineyard Ave Oxnard CA 93036-1615 Ph: (805) 436-3444 |
| NPI Number | 1134369366 |
|---|---|
| Provider Enumeration Date | 02/27/2009 |
| Last Update Date | 06/07/2022 |
| Medicare PECOS PAC ID | 3173434396 |
|---|---|
| Medicare Enrollment ID | O20090723000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134369366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000968 (California) | Primary |
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