Organization
CLINICAS DEL CAMINO REAL INC
Active
Organization
CLINICAS DEL CAMINO REAL INC
Active
Other names
Clinicas del Camino Real Inc., Moorpark
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAD BENHARASH (CHIEF FINANCIAL OFFCIER)
(805) 659-1740
Entity
Organization
Contact information
Practice address
4279 TIERRA REJADA RD, MOORPARK, CA 93021-3775
(805) 222-2323
(805) 372-0107
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
261QC1500X
Community Health Clinic/Center
550001982
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550001982
CA
Other
Enumeration date
04/09/2012
Last updated
06/07/2022
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