| |
612 Spring Rd Moorpark CA 93021-1298 | |
(805) 523-5400 | |
(805) 523-2233 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 612 Spring Rd, Moorpark, 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 |
---|---|
800 S Victoria Ave # L4615 Ventura CA 93009-0003 Ph: (805) 677-5210 | 612 Spring Rd Moorpark CA 93021-1298 Ph: (805) 523-5400 |
NPI Number | 1174764021 |
---|---|
Provider Enumeration Date | 03/23/2009 |
Last Update Date | 07/19/2024 |
Medicare PECOS PAC ID | 7911810171 |
---|---|
Medicare Enrollment ID | O20090803000524 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174764021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | H80CS00247-06-03 (California) | Primary |
Ayhan Yoruk Md A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 Patriot Dr Ste 201, Moorpark, CA 93021 Phone: 805-768-4198 | |
Moorpark Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Science Dr, Suite #190, Moorpark, CA 93021 Phone: 805-531-9400 Fax: 805-531-9499 | |
Mark R Winkler Md Pa Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14366 Shawnee St, Moorpark, CA 93021 Phone: 818-882-5375 | |
Golden State Providers, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 865 Patriot Dr Ste 203, Moorpark, CA 93021 Phone: 805-370-4684 Fax: 844-748-4623 |