NPI | 1720362056 |
---|---|
Doing Business As | CLINICAS DEL CAMINO REAL, INC. SIMI VALLEY MADERA |
Entity Type | Organization |
Authorized Contact | FARHAD BENHARASH Chief Financial Offcier 805-659-1740 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550001837) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 550001837) |
Enumeration Date | 2011-10-05 |
Last Update Date | 2022-06-07 |