Organization
PACIFIC CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CHAVEZ JR A.A.DEGREE (ON SITE COORDINATOR)
(805) 276-5917
Entity
Organization
Contact information
Practice address
1911 WILLIAMS ST, OXNARD, CA 93030
(805) 276-5917
Mailing address
460 LAS PALOMAS DR., PORT HUENEME, CA 93041
(805) 889-6135
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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