NPI | 1942789359 |
---|---|
Doing Business As | CLINICAS DEL CAMINO REAL, INC., LA COLONIA |
Entity Type | Organization |
Authorized Contact | FARHAD BENHARASH Chief Financial Officer 805-659-1740 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2022-06-07 |