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325 W Channel Islands Blvd Oxnard CA 93033-4501 | |
| (805) 204-9520 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 325 W Channel Islands Blvd, Oxnard, California |
| Authorized Official Name and Position | Narcisa B Egan (CFO) |
| Authorized Official Contact | 8056775140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
133 W Santa Clara St Ventura CA 93001-2543 Ph: (805) 648-9562 | 325 W Channel Islands Blvd Oxnard CA 93033-4501 Ph: (805) 204-9520 |
| NPI Number | 1720447568 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 02/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720447568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | H80CS00247-06-03 (California) | Primary |
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