Organization
CLINICAS DEL CAMINO REAL INC
Active
Other names
Clinicas del Camino Real Inc Fillmore
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAD BENHARASH (CHIEF FINANCIAL OFFICER)
(805) 659-1740
Entity
Organization
Contact information
Practice address
355 CENTRAL AVE, FILLMORE, CA 93015-1920
(805) 524-4926
Mailing address
200 S WELLS RD, 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
050000110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014891
HEALTHY FAMILIES ACCESS D
CA
01
—
401251
DELTA DENTAL
CA
01
—
BCP03907F
EDS CDP EVERY WOMAN COUNT
CA
05
—
FHC03907F
—
CA
01
—
G9088403
HEALTHY FAMILIES DELTA DE
CA
01
—
HAP03907F
HEALTH ACCESS PROGRAM FAM
CA
01
—
ZZZ30474Z
BLUE SHIELD
CA
Enumeration date
04/17/2007
Last updated
06/07/2022
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