Organization
BONAVENTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL STEFFY M.D. (PRESIDENT)
(805) 386-7055
Entity
Organization
Contact information
Practice address
1081 MESA DR, CAMARILLO, CA 93010-1345
(805) 386-7055
(805) 386-7038
Mailing address
PO BOX 429, SOMIS, CA 93066-0429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A116565
CA
Other
Enumeration date
03/02/2012
Last updated
06/08/2012
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