Bonaventure Clinic
Family Medicine in Camarillo, CA. Organization (NPI-2).
NPI number1326312794
StatusActive
Last updated in NPPESJun 8, 2012
Details
- NPI
- 1326312794
- Entity type
- Organization (NPI-2)
- Legal business name
- Bonaventure Clinic
- Organization subpart
- No
- Enumeration date
- Mar 2, 2012
- Last updated
- Jun 8, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A116565 | CA | Yes |
Practice location
1081 Mesa DrCamarillo, CA 93010-1345
Phone 805-386-7055 · Fax 805-386-7038
Mailing address
Po Box 429Somis, CA 93066-0429
Authorized official
Daniel Steffy
President
8053867055
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