Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 301 N R St, Lompoc, California |
Authorized Official Name and Position | Dana Bruce Gamble (DEPUTY DIRECTOR) |
Authorized Official Contact | 8056815171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
300 N San Antonio Rd Santa Barbara CA 93110-1316 Ph: (805) 681-5461 | 301 N R St Lompoc CA 93436-5226 Ph: (805) 737-6400 |
NPI Number | 1043377088 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 11/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043377088 | NPI | - | NPPES |
BCP16134F | Other | CA | BCEDP NUMBER |
Rahim A Raoufi, Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 228 S D St, Suite B, Lompoc, CA 93436 Phone: 208-667-9334 Fax: 208-664-2341 | |
Central Coast Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 S B St, Lompoc, CA 93436 Phone: 805-740-9400 Fax: 805-741-2640 | |