Organization
CAMARENA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAULO A SOARES (CHIEF EXECUTIVE OFFICER)
(559) 664-4000
Entity
Organization
Contact information
Practice address
300 PROSPERITY BLVD, CHOWCHILLA, CA 93610-8498
(559) 664-4000
(559) 675-5625
Mailing address
PO BOX 299, MADERA, CA 93639-0299
(559) 664-4000
(559) 675-5625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
1223G0001X
General Practice Dentistry
—
—
126800000X
Dental Assistant
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000137
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP71114F
MEDICAL
CA
01
—
FHC71114F
MEDICAL
CA
01
—
HAP71114F
MEDICAL
CA
Enumeration date
01/08/2007
Last updated
07/16/2019
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