Organization · NPI-2

Academic Family Medicine Clinic-Mh

Clinic/Center, Medical Specialty · Ventura, CA

NPI number1669730271
StatusActive
Last updated in NPPESJun 5, 2012

Details

NPI
1669730271
Entity type
Organization (NPI-2)
Legal business name
Academic Family Medicine Clinic-Mh
Organization subpart
Yes
Enumeration date
May 2, 2012
Last updated
Jun 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical Specialty––Yes
261QM0850X Clinic/Center, Adult Mental Health––
261QM1300X Clinic/Center, Multi-Specialty050000032CA
261QP2300X Clinic/Center, Primary Care––

Practice location

3291 Loma Vista Rd
Building 340
Ventura, CA 93003-3099

Phone 805-641-5745

Mailing address

133 W Santa Clara St
Ventura, CA 93001-2543

Phone 805-641-5745

Authorized official

Karen Schneweis-Schmidt
Chief Hospital Operations
8056489554

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