| NPI | 1447659933 |
|---|---|
| Doing Business As | MOORPARK FAMILY MEDICAL GROUP / CSUCI |
| Entity Type | Organization |
| Authorized Contact | JOHNSON GILL CEO 805-677-5272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2019-01-16 |