| Simi Health Center A Medical Corp | |
|
1350 E Los Angeles Ave Simi Valley CA 93065-2898 | |
| (805) 522-3782 | |
| (805) 522-1283 |
| Full Name | Simi Health Center A Medical Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1350 E Los Angeles Ave, Simi Valley, California |
| Authorized Official Name and Position | Chandrashekhar R Joshi (MD/OWNER) |
| Authorized Official Contact | 8055223782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simi Health Center A Medical Corp 1350 E Los Angeles Ave Simi Valley CA 93065-2898 Ph: (805) 522-3782 | Simi Health Center A Medical Corp 1350 E Los Angeles Ave Simi Valley CA 93065-2898 Ph: (805) 522-3782 |
| NPI Number | 1871682096 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 11/15/2022 |
| Medicare PECOS PAC ID | 1850435207 |
|---|---|
| Medicare Enrollment ID | O20100223000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871682096 | NPI | - | NPPES |
| 00A255620 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Chandrashekhar Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215049374 PECOS PAC ID: 7012051477 Enrollment ID: I20100312000889 |
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