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Organization
CALIFORNIA HEALTHFIRST PHYSICIANS
Active
Organization
CALIFORNIA HEALTHFIRST PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PERKO (CFO)
(909) 335-7171
Entity
Organization
Contact information
Practice address
5051 VERDUGO WAY, SUITE 110, CAMARILLO, CA 93012-8680
(805) 445-7010
(805) 484-3610
Mailing address
PO BOX 10968, SAN BERNARDINO, CA 92423-0968
(909) 335-7171
(909) 335-7140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033357736
—
CA
01
—
ZZZ55868Y
BS/TRIWEST
CA
Enumeration date
02/03/2009
Last updated
09/11/2009
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