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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
1700 N ROSE AVE, SUITE 210, OXNARD, CA 93030-3790
(805) 988-8058
(805) 983-0803
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
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831365667
—
CA
01
—
ZZZ55168Y
BS/TRIWEST
CA
Enumeration date
05/01/2008
Last updated
10/27/2009
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