| Free Clinic Of Simi Valley | |
|
2060 Tapo St. Simi Valley CA 93063-3417 | |
| (805) 522-3733 | |
| (805) 522-9576 |
| Full Name | Free Clinic Of Simi Valley |
|---|---|
| Speciality | Family Medicine |
| Location | 2060 Tapo St., Simi Valley, California |
| Authorized Official Name and Position | Adriana Trujillo (ADMINISTRATOR) |
| Authorized Official Contact | 8055223733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Free Clinic Of Simi Valley 2060 Tapo St. Simi Valley CA 93063-3417 Ph: (805) 522-3733 | Free Clinic Of Simi Valley 2060 Tapo St. Simi Valley CA 93063-3417 Ph: (805) 522-3733 |
| NPI Number | 1801127162 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 01/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801127162 | NPI | - | NPPES |
| DUN#197915861 | Other | CA | FEDERAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 050000088 (California) | Primary |
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