Clinicas Del Camino Real, Inc. Simi Valley Madera
LBN: Clinicas Del Camino Real Inc
Clinicas Del Camino Real, Inc. Simi Valley Madera is an health care organization with primary practice located at 1424 Madera Rd , Simi Valley CA 93065-3000. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Clinicas Del Camino Real Inc can be contacted via phone (805) 522-5722, or through Benharash, Farhad via phone (805) 659-1740.
Contact Information
Primary practice address
1424 Madera Rd
Simi Valley CA 93065-3000
Phone: (805) 522-5722
Fax: (805) 672-0107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | 550001837 | California |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 550001837 | California |
Profile Details
| NPI number | 1720362056 |
|---|---|
| LBN Legal business name | Clinicas Del Camino Real Inc |
| DBA Doing business as | Clinicas Del Camino Real, Inc. Simi Valley Madera |
| Authorized official | Benharash, Farhad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2011 |
| Last updated | Jun 7th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720362056 | NPPES |
| California | MEDICAID | 1720362056 |
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