Organization
CLINICAS DEL CAMINO REAL INC
Active
Other names
Clinicas del Camino Real, Inc., Ventura
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAD BENHARASH (CHIEF FINANCIAL OFFICER)
(805) 659-1740
Entity
Organization
Contact information
Practice address
200 S WELLS RD, SUITE 100, VENTURA, CA 93004-1302
(805) 647-6322
(805) 647-7164
Mailing address
200 SOUTH WELLS ROAD, SUITE 200, VENTURA, CA 93004-1302
(805) 659-1740
(805) 659-9959
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
050000116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014657
HEALTHY FAMILIES ACCESS D
CA
01
—
201251
DELTA DENTAL
CA
01
—
BCP03908F
EDS CDP EVERY WOMAN COUNT
CA
05
—
FHC03908F
—
CA
01
—
G9088402
HEALTHY FAMILIES DELTA DE
CA
01
—
HAP03908F
HEALTH ACCESS PROGRAM FAM
CA
01
—
W3731
MEDICARE NHIC
CA
01
—
ZZZ06124Z
BLUE SHIELD
CA
Enumeration date
12/06/2006
Last updated
06/07/2022
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