Concentra Primary Care Of California
Clinic/Center, Primary Care in Camarillo, CA. Organization (NPI-2).
NPI number1689140261
StatusActive
Last updated in NPPESOct 22, 2018
Details
- NPI
- 1689140261
- Entity type
- Organization (NPI-2)
- Legal business name
- Concentra Primary Care Of California
- Organization subpart
- No
- Enumeration date
- Oct 22, 2018
- Last updated
- Oct 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – |
Practice location
4934 Verdugo WayCamarillo, CA 93012-8631
Phone 805-484-0095 · Fax 805-388-2174
Mailing address
5080 Spectrum Dr Ste 1200wAddison, TX 75001-4624
Authorized official
John Anderson
Vp
9723648000
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