Las Islas Family Medical Group | |
325 W. Channel Islands Blvd. Oxnard CA 93033 | |
(805) 204-9520 | |
(805) 240-2128 |
Full Name | Las Islas Family Medical Group |
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Speciality | Clinic/Center |
Location | 325 W. Channel Islands Blvd., Oxnard, 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 |
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Las Islas Family Medical Group 800 S Victoria Ave # L4615 Ventura CA 93009-0003 Ph: (805) 677-5210 | Las Islas Family Medical Group 325 W. Channel Islands Blvd. Oxnard CA 93033 Ph: (805) 204-9520 |
NPI Number | 1508187329 |
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Provider Enumeration Date | 06/16/2010 |
Last Update Date | 07/19/2024 |
Medicare PECOS PAC ID | 7911810171 |
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Medicare Enrollment ID | O20101011000325 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508187329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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