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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 STE 100, CAMARILLO, CA 93012-8681
(805) 384-8071
(805) 987-1927
Mailing address
PO BOX 10968, SAN BERNARDINO, CA 92423-0968
(909) 335-7171
(909) 335-7140

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
Primary
363LF0000X
Family Nurse Practitioner
NP17104
CA
367A00000X
Advanced Practice Midwife
NMW1008
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033399415
CA
01
ZZZ50355Y
BS/TRIWEST
CA
Enumeration date
11/14/2007
Last updated
11/04/2009
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