| NPI | 1518183904 |
|---|---|
| Doing Business As | CLINICAS DEL CAMINO REAL INC MARAVILLA |
| Entity Type | Organization |
| Authorized Contact | FARHAD BENHARASH Chief Financial Officer 805-659-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 050000461) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-06-07 |