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1133 Chelsea Street Ridgecrest CA 93555-1133 | |
| (760) 446-7978 | |
| (760) 446-5988 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1133 Chelsea Street, Ridgecrest, California |
| Authorized Official Name and Position | Francisco L Castillon (CEO) |
| Authorized Official Contact | 6616307050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4900 California Ave 400b Bakersfield CA 93309-7081 Ph: (661) 459-1900 | 1133 Chelsea Street Ridgecrest CA 93555-1133 Ph: (760) 446-7978 |
| NPI Number | 1609048040 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 07/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609048040 | NPI | - | NPPES |
| HAP71043F | Other | CA | MEDI-CAL |
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