| Clinicas Del Camino Real, Inc., Karen R Burnham | |
|
1100 W Gonzales Rd Oxnard CA 93036-3336 | |
| (805) 988-0053 | |
| Not Available |
| Full Name | Clinicas Del Camino Real, Inc., Karen R Burnham |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 W Gonzales Rd, 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., Karen R Burnham 200 S Wells Rd Suite 200 Ventura CA 93004-1302 Ph: (805) 659-1740 | Clinicas Del Camino Real, Inc., Karen R Burnham 1100 W Gonzales Rd Oxnard CA 93036-3336 Ph: (805) 988-0053 |
| NPI Number | 1093933194 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 06/07/2022 |
| Medicare PECOS PAC ID | 3173434396 |
|---|---|
| Medicare Enrollment ID | O20100325000921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093933194 | NPI | - | NPPES |
| FHC71077F | Medicaid | CA | |
| BCP71077F | Other | CA | EDS CDP EVERY WOMAN COUNT |
| HAP71077F | Other | CA | HEALTH ACCESS PROGRAM FAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000025 (California) | Primary |
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