Organization
CLINICAS DEL CAMINO REAL, INC
Active
Other names
Clinicas del Camino Real, Inc., East Simi Valley
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAD BENHARASH (CHIEF FINANCIAL OFFICER)
(805) 659-1740
Entity
Organization
Contact information
Practice address
4370 EVE RD, SIMI VALLEY, CA 93063-2323
(805) 915-4400
(805) 915-4401
Mailing address
200 S WELLS RD, SUITE 200, VENTURA, CA 93004-1377
(805) 659-1740
(805) 659-9959
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550003227
CA
Other
Enumeration date
02/24/2014
Last updated
06/07/2022
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