| Sos Environmental Health | |
|
317 W Ventura Blvd # 1026 Camarillo CA 93010-9134 | |
| (310) 748-3668 | |
| Not Available |
| Full Name | Sos Environmental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 317 W Ventura Blvd # 1026, Camarillo, California |
| Authorized Official Name and Position | Charles G Colby (CEO) |
| Authorized Official Contact | 3107483668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sos Environmental Health 317 W Ventura Blvd # 1026 Camarillo CA 93010-9134 Ph: (310) 748-3668 | Sos Environmental Health 317 W Ventura Blvd # 1026 Camarillo CA 93010-9134 Ph: (310) 748-3668 |
| NPI Number | 1346857802 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 11/12/2021 |
| Medicare PECOS PAC ID | 6103246236 |
|---|---|
| Medicare Enrollment ID | O20201012001471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346857802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mai K Lai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841232717 PECOS PAC ID: 5092742601 Enrollment ID: I20050725001063 |
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