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2240 E Gonzales Rd Ste 140 Oxnard CA 93036-8212 | |
| (805) 981-5221 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 2240 E Gonzales Rd Ste 140, Oxnard, California |
| Authorized Official Name and Position | Theresa Cho (DIRECTOR) |
| Authorized Official Contact | 8056775290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
800 S Victoria Ave # L4615 Ventura CA 93009-0003 Ph: (805) 677-5210 | 2240 E Gonzales Rd Ste 140 Oxnard CA 93036-8212 Ph: (805) 981-5221 |
| NPI Number | 1821527326 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821527326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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