Organization · Type 2 NPI

County of Ventura

Federally Qualified Health Center (FQHC) · Moorpark, CA

NPI number 1174764021 Active

Practice location

612 Spring Rd
Moorpark, CA 93021-1298

Call (805) 523-5400 Map

Fax (805) 523-2233

Mailing address

800 S Victoria Ave # L4615
Ventura, CA 93009-0003

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	H80CS00247-06-03 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

5 other providers at this address

Other federally qualified health center (fqhc) providers in Moorpark

Clinicas del Camino Real IncFederally Qualified Health Center (FQHC) Moorpark, CA NPI 1841556404

See all in Moorpark →

NPI record

NPI: 1174764021
Entity type: Organization (Type 2)
Issued: Mar 23, 2009
Last updated: Jul 19, 2024
Status: Active
Subpart: Yes of Ventura County Medical Center

Other names

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Moorpark Family Medical Clinic FQHC · doing business as
Moorpark Family Medical Clinic FQHC · doing business as

Authorized official

Theresa Cho, MD
Director
(805) 677-5290

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174764021

County of Ventura's National Provider Identifier is 1174764021, issued on Mar 23, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Moorpark, CA. The record was last updated on Jul 19, 2024.