| Sierra Vista Family Medical Clinic Fqhc | |
|
1227 E Los Angeles Ave Simi Valley CA 93065-2871 | |
| (805) 582-4000 | |
| (805) 579-6082 |
| Full Name | Sierra Vista Family Medical Clinic Fqhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1227 E Los Angeles Ave, Simi Valley, 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 |
|---|---|
| Sierra Vista Family Medical Clinic Fqhc 800 S Victoria Ave # L4615 Ventura CA 93009-0003 Ph: (805) 677-5210 | Sierra Vista Family Medical Clinic Fqhc 1227 E Los Angeles Ave Simi Valley CA 93065-2871 Ph: (805) 582-4000 |
| NPI Number | 1386886117 |
|---|---|
| Provider Enumeration Date | 03/25/2009 |
| Last Update Date | 07/19/2024 |
| Medicare PECOS PAC ID | 7911810171 |
|---|---|
| Medicare Enrollment ID | O20090723000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386886117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | H80CS00247-06-03 (California) | Primary |
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