Organization Name: | CALIFORNIA HEALTHFIRST PHYSICIANS |
NPI Number: | 1033399415 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA PERKO (CFO) |
Mailing Address: | 5051 Verdugo Way Ste 100 Camarillo |
State: | CA US |
Postal Code: | 930128681 |
Phone Number: | 8053848071 |
Fax Number: | 8059871927 |
NPI Enumeration Date: | 11/14/2007 |
NPI Last Update Date: | 11/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP17104 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |