Organization
CLINICAS DEL CAMINO REAL INC
Active
Other names
Clinicas del Camino Real, Inc., Karen R Burnham
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAD BENHARASH (CHIEF FINANCIAL OFFICER)
(805) 659-1740
Entity
Organization
Contact information
Practice address
1100 W GONZALES RD, OXNARD, CA 93036-3336
(805) 988-0053
Mailing address
200 S WELLS RD, SUITE 200, VENTURA, CA 93004-1302
(805) 659-1740
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP71077F
EDS CDP EVERY WOMAN COUNT
CA
05
—
FHC71077F
—
CA
01
—
HAP71077F
HEALTH ACCESS PROGRAM FAM
CA
Enumeration date
04/23/2007
Last updated
06/07/2022
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