| Clinicas Del Camino Real Inc Roberto S Juarez | |
|
2100 Statham Blvd Oxnard CA 93033 | |
| (805) 659-1750 | |
| (805) 656-9959 |
| Full Name | Clinicas Del Camino Real Inc Roberto S Juarez |
|---|---|
| Speciality | Clinic/Center |
| Location | 2100 Statham Blvd, 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 Roberto S Juarez 2100 Statham Blvd Oxnard CA 93033 Ph: (805) 330-8680 | Clinicas Del Camino Real Inc Roberto S Juarez 2100 Statham Blvd Oxnard CA 93033 Ph: (805) 659-1750 |
| NPI Number | 1235866138 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 3173434396 |
|---|---|
| Medicare Enrollment ID | O20230216000941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235866138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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