Chc Ventura, LLC
Clinic/Center in Ventura, CA. Organization (NPI-2).
NPI number1861970121
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1861970121
- Entity type
- Organization (NPI-2)
- Legal business name
- Chc Ventura, LLC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2018
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Connected Health Centers (Doing Business As)
Practice location
1624 E Main StVentura, CA 93001-3308
Phone 805-641-2004 · Fax 805-641-2001
Mailing address
1624 E Main StVentura, CA 93001-3308
Phone 805-641-2004 · Fax 805-641-2001
Authorized official
Jeff Alexander
Manager
7199643284
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