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Organization

FREE CLINIC OF SIMI VALLEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRED BAUERMEISTER (EXECUTIVE DIRECTOR)
(805) 522-3733
Entity
Organization

Contact information

Practice address
2060 TAPO ST, SIMI VALLEY, CA 93063-3417
(805) 522-3733
Mailing address
2060 TAPO ST, SIMI VALLEY, CA 93063-3417
(805) 522-3733

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
050000088
CA

Other

Enumeration date
10/20/2016
Last updated
10/20/2016
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