| Conejo Valley Family Medical Group Fqhc | |
|
125 W Thousand Oaks Blvd Suite 300 Thousand Oaks CA 91360-4402 | |
| (805) 418-9100 | |
| (805) 370-0619 |
| Full Name | Conejo Valley Family Medical Group Fqhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 W Thousand Oaks Blvd, Thousand Oaks, California |
| Authorized Official Name and Position | Theresa Cho (DIRECTOR) |
| Authorized Official Contact | 8056775290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conejo Valley Family Medical Group Fqhc 800 S Victoria Ave # L4615 Ventura CA 93009-0003 Ph: (805) 677-5210 | Conejo Valley Family Medical Group Fqhc 125 W Thousand Oaks Blvd Suite 300 Thousand Oaks CA 91360-4402 Ph: (805) 418-9100 |
| NPI Number | 1316188253 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 07/19/2024 |
| Medicare PECOS PAC ID | 7911810171 |
|---|---|
| Medicare Enrollment ID | O20090717000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316188253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | H80CS00247-06-03 (California) | Primary |
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